[An old ventricular lead migration and subsequent dislodgement

Kardiol Pol · Aug 2008

Case Reports

[An old ventricular lead migration and subsequent dislodgement to the pleural cavity - an unusual complication of permanent cardiac pacing].

A case of a 77 year old male with a history of multiple pacemaker replacement procedures, a new ventricular lead implanted and an old one left in place, and imminent skin erosion at the site of a pacemaker pocket is presented. Clinical diagnosis included right- -sided heart failure, pneumonia, pleural effusion and suspicion of pulmonary infarction as well as endocarditis. Chest radiogram and computerised tomography revealed an unusual location of an old ventricular lead which proximal, sharp end migrated through the venous system via right ventricle and pericardium to the left pleural cavity.

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- Elzbieta Adamowicz-Czoch, Jan Głowacki, Michał Hawranek, Bogusława Dziubek, Marek Gierlotka, and Marian Zembala.
- Sekretariat III Katedry i Oddziału Kardiologii Slaskiego Centrum Chorób Serca, ul. Szpitalna 2, 41-800 Zabrze, Poland. eadamowicz@interia.pl
- Kardiol Pol. 2008 Aug 1; 66 (8): 869-72.
AbstractA case of a 77 year old male with a history of multiple pacemaker replacement procedures, a new ventricular lead implanted and an old one left in place, and imminent skin erosion at the site of a pacemaker pocket is presented. Clinical diagnosis included right- -sided heart failure, pneumonia, pleural effusion and suspicion of pulmonary infarction as well as endocarditis. Chest radiogram and computerised tomography revealed an unusual location of an old ventricular lead which proximal, sharp end migrated through the venous system via right ventricle and pericardium to the left pleural cavity.

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[An old ventricular lead migration and subsequent dislodgement to the pleural cavity - an unusual complication of permanent cardiac pacing].

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