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Right Ventricular Free Wall Rupture Due to Displaced Automatic Implantable Cardioverter Defibrillator (AICD) Lead
The implantation of an implantable cardioverter defibrillator (ICD) carries a risk for major complications, one of which is ventricular free wall rupture secondary to a lead perforation. This known complication, although rare, has estimated incidence rates between 0.1% and 3%. Predictive factors of...
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Published in: | Cureus 2024, Vol.16 (1), p.e53146-e53146 |
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Main Authors: | , , , , |
Format: | Report |
Language: | English |
Online Access: | Get full text |
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Summary: | The implantation of an implantable cardioverter defibrillator (ICD) carries a risk for major complications, one of which is ventricular free wall rupture secondary to a lead perforation. This known complication, although rare, has estimated incidence rates between 0.1% and 3%. Predictive factors of such an event include temporary leads, steroid use, active fixation leads, low body mass index (35 mmHg is considered a protective factor likely due to associated right ventricular hypertrophy. We present a case of a 73-year-old female with a history of aortic stenosis status post-transcatheter aortic valve replacement (TAVR) and atrial fibrillation (AFib) who met the criteria for an ICD after suffering ventricular fibrillation arrest (after TAVR procedure) ultimately resulting in lead perforation. |
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ISSN: | 2168-8184 2168-8184 |
DOI: | 10.7759/cureus.53146 |