The Subtle Journey of a Right Atrial Lead

Carola Gianni, MD; Robert C. Canby, MD; Alisara Anannab, MD; Domenico G. Della Rocca, MD; Andrea Natale, MD; Amin Al-Ahmad, MD

JACC: Case Reports (Jun 2020)

The Subtle Journey of a Right Atrial Lead

Carola Gianni, MD,
Robert C. Canby, MD,
Alisara Anannab, MD,
Domenico G. Della Rocca, MD,
Andrea Natale, MD,
Amin Al-Ahmad, MD

Affiliations

Carola Gianni, MD: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas; Address for correspondence: Dr. Carola Gianni, Texas Cardiac Arrhythmia Institute, St. David’s Medical Center, 3000 N. IH-35, Suite 720, Austin, Texas 78705.
Robert C. Canby, MD: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas
Alisara Anannab, MD: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas; Electrophysiology Unit, Department of Cardiovascular and Intervention, Central Chest Institute of Thailand, Nonthaburi, Thailand
Domenico G. Della Rocca, MD: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas
Andrea Natale, MD: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas; HCA National Medical Director of Cardiac Electrophysiology; Interventional Electrophysiology, Scripps Clinic, La Jolla, California; MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio
Amin Al-Ahmad, MD: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas

Journal volume & issue: Vol. 2, no. 6
pp. 902 – 906

Abstract

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We report an unusual case of subacute right atrial perforation by a screw-in pacemaker lead that migrated into the right lung causing hemopneumothorax 2 weeks after the procedure. After transvenous simple manual traction and minithoracotomy repair of the right atrial wall, the lead was repositioned without any complications. (Level of Difficulty: Beginner.)

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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