Near-fatal Outcome of Late Cardiac Perforation by a Pacemaker Lead in a Young Woman with Transposition of the Great Arteries

Abstract

We report a case of ventricular perforation by an active-fixation permanent pacemaker lead in a young woman with congenital heart defect and pacemaker because of atrioventricular block. The rarity of the case is based not only upon the late perforation (as opposed to the more common acute perforations) but also on the near-fatal outcome. The patient experienced sharp chest pain and 1 week later passed out with cardiac arrest.

A rare cause of syncope in patients with situs inversus totalis and corrected transposition of the great arteries: Very late lead perforation

“…presented a case of delayed cardiac lead perforation that caused cardiac arrest in a patient with d TGA who had undergone Senning operation. They thought that there was a perforation due to apical lead placement and implanted a new pacemaker lead in the septal region 10 . The apex is thinner than the interventricular septum, thus the septum is often the preferred target for lead placement.…”

“…They thought that there was a perforation due to apical lead placement and implanted a new pacemaker lead in the septal region. 10 The apex is thinner than the interventricular septum, thus the septum is often the preferred target for lead placement. To avoid this complication, septal positioning may be preferred.…”