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Europace Advance Access originally published online on May 14, 2009
Europace 2009 11(7):968-969; doi:10.1093/europace/eup120
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

CASE REPORT

A rare case of late right ventricular perforation by a passive-fixation permanent pacemaker lead

Dimitrios Tziakas1,*, Apostolos Alexoudis1, Fotios Konstantinou2, Georgios Chalikias1, Dimitrios Stakos1 and Georgios Bougioukas2

1 University Cardiology Department, Medical School, Democritus University of Thrace, Voulgaroktonou 23, 68100 Alexandroupolis, Greece; 2 University Cardiothoracic Surgery Department, Medical School, Democritus University of Thrace, Alexandroupolis, Greece

The present paper is an interesting and rare complication of implantation of a permanent pacemaker lead. The rarity of the case is based upon that ventricular perforation is usually present during implantation, whereas in our case, it was presented late—1 month after implantation. Furthermore, in our case, the pacemaker lead had migrated through the left hemidiaphragm into the peritoneal cavity.

* Corresponding author. Tel: +30 25510 76205; Fax: +30 25510 76245. Email: dtziakas{at}med.duth.gr


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