Abstract
We experienced three cases of right ventricular perforation that were induced by transvenous pacing electrodes. The patients were a 72-year-old man who underwent percutaneous transluminal coronary recanalization and angioplasty, an 80-year-old woman who had temporary transvenous pacing for a complete atrioventricular block induced by acute valvular heart failure, and a 44-year-old man who had received a permanent pacemaker. All three patients were treated surgically. The first and second patients demonstrated either cardiac tamponade or hemopericardium necessitating pericardial drainage. Spontaneous hemostasis did not occur in cases 1 and 2, due to either anticoagulant therapy or myocardial degeneration. Such patients require surgical closure of the perforation and pericardial drainage as soon as pericardial effusion is confirmed. In contrast, middle-aged individuals without myocardial damage, such as patient 3, need only a simple removal and repositioning of the electrode followed by serial echocardiography.
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Rubin JW, Killam HAW, Moore HV (1976) Permanent cardiac pacemakers: twelve year experience with 287 patients. Am J Thorac Surg 22:7410–7416
Hynes JK, Holmes Jr DR, Harrison CE (1983) Five-year experience with temporary pacemaker therapy in the coronary care unit. Mayo Clin Proc 58:122–126
Deanfield J, Jonathan A, Fox K (1981) Pericardial complications of endocardial and epicardial pacing. Br Med J 283:635–636
Chung EK (ed) (1978) Artificial cardiac pacing. Williams and Wilkins, Baltimore, pp 327–343
Gorlin R (1968) Perforation and other cardiac complications. Circulation 37 [Suppl III]:36–38
Gehl L, Iskandrian AS, Goel I (1982) Cardiac perforation with tamponade during cardiac catheterization. Cathet Cardiovasc Diagn 8:293–298
Lumia FJ, Rios JC (1973) Temporary transvenous pacemaker therapy: An analysis of complications. Chest 64:604–608
Goldbaum TS, Jacob AS, Smith DF (1985) Cardiac tamponade following percutaneous transluminal coronary angioplasty: Four case reports. Cathet Cardiovasc Diagn 11:413–416
Lakatta EG, Mitchell JH, Pomerance A, Rowe GG (1987) Human aging: Changes in structure and function. J Am Coll Cardiol 10:42A-47A
Stormorken H (1977) Activation and intervention of some defense systems. In: Poller L (eds) Recent advances in blood coagulation. Churchill Livingstone, London, pp 38–58
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Asano, M., Mishima, A., Ishii, T. et al. Surgical treatment for right ventricular perforation caused by transvenous pacing electrodes: A report of three cases. Surg Today 26, 933–935 (1996). https://doi.org/10.1007/BF00311800
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DOI: https://doi.org/10.1007/BF00311800