Journal Information
Vol. 36. Issue 3.
Pages 227-228 (March 2017)
Share
Share
Download PDF
More article options
Vol. 36. Issue 3.
Pages 227-228 (March 2017)
Image in Cardiology
DOI: 10.1016/j.repce.2016.06.010
Open Access
A right ventricular perforation
Uma perfuração do ventrículo direito
Visits
...
Sofia Lázaro Mendes
Corresponding author
sofialazaromendes@gmail.com

Corresponding author.
, Luís Elvas, Domingos Ramos, Mariano Pêgo
Hospitais da Universidade de Coimbra – Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

A 73-year-old woman with non-ischemic cardiomyopathy and left bundle branch block underwent implantation of a biventricular cardioverter-defibrillator with an active fixation, single-coil right ventricular lead. The procedure was without complications.

Three weeks later, she presented to the emergency department with complaints of pleuritic chest pain and shortness of breath. Her blood pressure was 100/40mmHg, oxygen saturation was 100% on room air and temperature was 38.2°C. Chest auscultation was normal and revealed no adventitious sounds. A chest radiograph demonstrated progression of the right ventricular lead beyond the cardiac silhouette (Figure 1), without hemothorax. Pericardial effusion was excluded. On interrogation of the device, reduced sensing amplitude was found.

Figure 1.

Chest radiography: progression of the right ventricular lead beyond the cardiac silhouette.

(0.21MB).

Three sets of blood cultures were drawn before initiation of antimicrobial therapy with linezolid. Staphylococcus aureus was subsequently isolated.

We decided to extract the device since the patient had presented with fever and blood cultures were positive. Surgical backup was arranged and the pulse generator and leads were extracted by direct traction in the operating room with close echocardiographic monitoring. There was no pericardial effusion.

She remained stable and was discharged after a few weeks. Implantation of a new device was planned.

Ethical disclosuresProtection of human and animal subjects

The authors declare that no experiments were performed on humans or animals for this study.

Confidentiality of data

The authors declare that they have followed the protocols of their work center on the publication of patient data.

Right to privacy and informed consent

The authors declare that no patient data appear in this article.

Conflicts of interest

The authors have no conflicts of interest to declare.

Copyright © 2017. Sociedade Portuguesa de Cardiologia
Idiomas
Revista Portuguesa de Cardiologia (English edition)

Subscribe to our newsletter

Article options
Tools
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

By checking that you are a health professional, you are stating that you are aware and accept that the Portuguese Journal of Cardiology (RPC) is the Data Controller that processes the personal information of users of its website, with its registered office at Campo Grande, n.º 28, 13.º, 1700-093 Lisbon, telephone 217 970 685 and 217 817 630, fax 217 931 095, and email revista@spc.pt. I declare for all purposes that the information provided herein is accurate and correct.