An Unexpected Complication of Subcutaneous ICD Implantation and its Successful Management

Tomoya Yanagishita, MD; Shogo Sakamoto, MD, PhD; Yuta Yoshisako, MD; Kaya Sasaki, MD; Takashi Nakatsuji, MD; Kenji Tamura, MD; Tomokazu Iguchi, MD, PhD; Toru Kataoka, MD, PhD; Yasuhiro Izumiya, MD, PhD; Minoru Yoshiyama, MD, PhD

JACC: Case Reports (Jun 2020)

An Unexpected Complication of Subcutaneous ICD Implantation and its Successful Management

Tomoya Yanagishita, MD,
Shogo Sakamoto, MD, PhD,
Yuta Yoshisako, MD,
Kaya Sasaki, MD,
Takashi Nakatsuji, MD,
Kenji Tamura, MD,
Tomokazu Iguchi, MD, PhD,
Toru Kataoka, MD, PhD,
Yasuhiro Izumiya, MD, PhD,
Minoru Yoshiyama, MD, PhD

Affiliations

Tomoya Yanagishita, MD: Department of Cardiovascular Medicine, Bell Land General Hospital, Osaka, Japan
Shogo Sakamoto, MD, PhD: Department of Cardiovascular Medicine, Bell Land General Hospital, Osaka, Japan; Address for correspondence: Dr. Shogo Sakamoto, Department of Cardiovascular Medicine, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai, Osaka 599-8247, Japan.
Yuta Yoshisako, MD: Department of Cardiovascular Medicine, Bell Land General Hospital, Osaka, Japan
Kaya Sasaki, MD: Department of Cardiovascular Medicine, Bell Land General Hospital, Osaka, Japan
Takashi Nakatsuji, MD: Department of Cardiovascular Medicine, Bell Land General Hospital, Osaka, Japan
Kenji Tamura, MD: Department of Cardiovascular Medicine, Bell Land General Hospital, Osaka, Japan
Tomokazu Iguchi, MD, PhD: Department of Cardiovascular Medicine, Bell Land General Hospital, Osaka, Japan
Toru Kataoka, MD, PhD: Department of Cardiovascular Medicine, Bell Land General Hospital, Osaka, Japan
Yasuhiro Izumiya, MD, PhD: Department of Cardiovascular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan
Minoru Yoshiyama, MD, PhD: Department of Cardiovascular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan

Journal volume & issue: Vol. 2, no. 6
pp. 889 – 893

Abstract

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Subcutaneous implantable cardioverter-defibrillator implantation is known to be a safe procedure. However, inappropriate lead insertion can lead to serious complications. We present a case where an inappropriate lead placement resulted in puncturing the lung parenchyma, and successful management of the lead-related pneumothorax through thoracoscopic lead removal and partial lung resection. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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