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Title: Delayed lead perforation: a rare cause of pacemaker dysfunction. Author: dos Santos LF, Costa F, Correia E, Rodrigues B, Moreira D, Correia H, Nunes L, Pipa J, Costa A, de Carvalho L, Cabral C, Ribeiro N, de Olival R, Santos O. Journal: Rev Port Cardiol; 2011 Jun; 30(6):599-609. PubMed ID: 21874925. Abstract: A 65-year-old woman with a dual-chamber pacemaker implanted in 2006 for symptomatic carotid sinus hypersensitivity was incidentally found to have loss of ventricular capture on routine pacemaker interrogation. A chest X-ray raised the suspicion of perforation and migration of the right ventricular lead, confirmed by three-dimensional echocardiogram and CT scan. On the basis of this case, we review myocardial lead perforation, including predisposing factors, pathophysiological mechanisms, diagnostic approach and therapeutic options.[Abstract] [Full Text] [Related] [New Search]