Migration and right atrial perforation of an Accufix atrial lead retention wire following partial lead removal during myomectomy.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 9726760.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
A 36-year-old man with a history of hypertrophic obstructive cardiomyopathy presented to the emergency room with "stabbing" chest pain. He had undergone dual-chamber pacemaker implantation in 1993 using an atrial lead (Accufix; Telectronics; Englewood, Colo) and a myomectomy in 1996 during which the distal portion of the atrial lead was removed. Digital fluoroscopy revealed that the retention wire had migrated out of the remaining atrial lead and perforated the right atrium. The retention wire was successfully removed percutaneously. The need for complete removal of the retention wire in the Accufix lead at the time of open-heart surgery is emphasized.
Medical subject headings
- Cardiac Surgical Procedures
- Foreign-Body Migration
- Heart Atria
- Intraoperative Complications
- Pacemaker, Artificial