Farazin Hosseini-Ardehali

Queen Mary University of London

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Sajjad Mazhar

Southend University Hospital NHS Foundation Trust

Azeem S Sheikh

Sandwell & West Birmingham Hospitals NHS Trust

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Southend University Hospital NHS Foundation Trust

Sandwell & West Birmingham Hospitals NHS Trust

University Hospital of Wales

Morriston Hospital

Royal Glamorgan Hospital

Wrexham Maelor Hospital

The Royal Free Hospital

Newham University Hospital

University College London

Royal Free London NHS Foundation Trust

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Right ventricular perforation by a passive‐fixation pacemaker lead two weeks after implantation

Journal of Arrhythmia (2014)

Azeem S Sheikh Farazin Hosseini-Ardehali Sajjad Mazhar

Abstract Myocardial perforation is a rare complication of permanent pacemaker implantation. While most of the perforations occur at the time of implantation or within the first 24 h, delayed myocardial perforations are very rare. The clinical course is extremely variable with some patients presenting completely asymptomatic, while others can develop cardiac tamponade and haemodynamic instability. We report an unusual case of a subacute ventricular perforation caused by a passive‐fixation lead two weeks after implantation and we successfully managed to extract the lead under local anaesthesia, without the patient undergoing surgery, as recommended in the previously published reports.

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Perforation

10.1016/j.joa.2014.03.005

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