Late Manifestation of Coronary Sinus and Left Atrial Perforation of a Left Ventricular Pacemaker Lead at Extraction |
| |
| Authors: | ADAM OESTERLE MD HUSAM H BALKHY MD JOHN GREEN MD MSc MARTIN C BURKE DO |
| |
| Institution: | 1. Department of Medicine and Surgery, University of Chicago, Chicago, Illinois;2. Sections of Cardiology and Cardiothoracic Surgery and the Heart Rhythm Center, University of Chicago, Chicago, Illinois |
| |
| Abstract: | A 56‐year‐old man presented for lead extraction of a left ventricular (LV) lead that had been deactivated due to hiccups and of a right ventricular (RV) lead with a high threshold. Pus was noted upon entering the pocket. The right atrial and RV leads were extracted, but traction on the LV lead caused ischemia and was not performed. An echocardiogram demonstrated the lead in the left atrium and a robotic‐assisted thoracotomy was used to remove the lead that had unroofed the coronary sinus, gone into the left atrium, and perforated through the free wall into the pericardium. |
| |
| Keywords: | late lead perforation lead infection coronary sinus perforation left atrial perforation lead related pericarditis robotic cardiac surgery |
|
|
