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Europace Advance Access originally published online on May 17, 2009
Europace 2009 11(7):961-962; doi:10.1093/europace/eup111
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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

SHORT COMMUNICATIONS

Management of traumatic implantable cardioverter defibrillator lead perforation of the right ventricle after car accident: a case report

Biagio Sassone1,*, Luca Gabrieli1, Giulio Boggian1 and Emanuele Pilato2

1 Division of Cardiology, Bentivoglio Hospital, Azienda USL di Bologna, via Marconi 35 – 40010 Bentivoglio, Bologna, Italy; 2 Institute of Cardiosurgery, University of Bologna, via Massarenti 9 – 40138 Bologna, Italy

The authors reported a case of traumatic implantable cardioverter defibrillator (ICD) lead perforation of the right ventricular (RV) apex caused by a motor vehicle accident. Clinical and echocardiographic features combined with changes in electrical parameters of the offending lead were decisive for the final diagnosis. Optimal management of ICD lead RV wall perforation is currently unclear. In our report, RV perforation was responsible for cardiac tamponade. This complication was uneventfully managed by open surgical procedure.

* Corresponding author: Tel: +39 051 664 4360, Fax: +39 051 664 4383, Email: biagio.sassone{at}ausl.bologna.it

Manuscript submitted 23 March 2009. Accepted after revision 12 April 2009.


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