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Delayed cardiac perforation by one small body diameter defibrillator lead
Authors:Majid Haghjoo  Abolfath Alizadeh  MD  Amir Farjam Fazelifar  MD  Mozhgan Hajahmadi  MD  Mohammad Ali Sadr-Ameli  MD
Affiliation:Department of Pacemaker and Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Mellat Park, Tehran, Iran
Abstract:We report a 37-year-old man who presented with continuous chest pain 6 weeks after implantable cardioverter-defibrillator implantation. Implantable cardioverter-defibrillator interrogation indicated complete loss of capture even with maximum output. Chest radiography and echocardiography confirmed extracardiac location of lead tip. After lead repositioning in electrophysiology laboratory, acceptable pacing threshold was obtained with no complication. This report demonstrates a case of delayed cardiac perforation after implantation of the St Jude Medical Durata implantable cardioverter-defibrillator lead.
Keywords:Implantable cardioverter-defibrillator   Cardiac perforation   Complication   Durata
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