TITLE:
Hemothorax induced by cardiac perforation resulting from two active screw-in leads: A case report
AUTHORS:
Hideki Morita, Tsutomu Saito, Yoshio Misawa
KEYWORDS:
Pacemaker; Pacing Complications; Hemothorax; Screw-In Lead
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.3 No.2,
April
28,
2013
ABSTRACT: We describe the case of a 77-year-old female who underwent dual-chamber permanent pacemaker implantation using two active screw-in leads for complete atrioventricular block. The
two active screw-in leads perforated the atrial and ventricular walls causing
cardiac tamponade and a left hemothorax associated with ventricular
perforation. An emergency sternotomy was performed to facilitate drainage and
hemostasis. Although hemothorax due to pacing lead perforation is very rare,
such a possibility should always be considered.