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Open AccessCase Report

Minimal Cardiac Perforation by Lead Pacemaker Complicated with Pericardial Effusion and Impending Tamponade: Optimal Management with No Pericardiocentesis Driven by Echocardiography

1
Institute of Cardiovascular Disease, Department of Emergency and Organ Transplantations, University of Bari “Aldo Moro”, 70121 Bari, Italy
2
Unit of Cardiology, Civil Hospital “Giovanni Paolo II”, 75025 Policoro (MT), Italy
*
Author to whom correspondence should be addressed.
Diagnostics 2020, 10(4), 191; https://doi.org/10.3390/diagnostics10040191
Received: 4 February 2020 / Revised: 25 March 2020 / Accepted: 26 March 2020 / Published: 30 March 2020
(This article belongs to the Section Medical Imaging)
We report the case of a 51-year-old patient who underwent the implantation of a bi-ventricular implantable cardioverter defibrillator (ICD) complicated by a sub-acute right ventricular minimal perforation with pericardial effusion and echocardiographic signs of tamponade. A new echocardiographic plane orientation allowed us to diagnose this condition in emergency and to make the right decision without delay, which consisting in unscrewing the active fixation screw under fluoroscopy guidance, while the pericardiocentesis was postponed. Thanks to the intervention focused on eliminating the cause of the postcardiac injury syndrome, the patient recovered rapidly and ultimately avoided the pericardiocentesis procedure. View Full-Text
Keywords: lead complications; cardiac tamponade; echocardiography lead complications; cardiac tamponade; echocardiography
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MDPI and ACS Style

Caiati, C.; Pollice, P.; Truncellito, L.; Lepera, M.E.; Favale, S. Minimal Cardiac Perforation by Lead Pacemaker Complicated with Pericardial Effusion and Impending Tamponade: Optimal Management with No Pericardiocentesis Driven by Echocardiography. Diagnostics 2020, 10, 191.

AMA Style

Caiati C, Pollice P, Truncellito L, Lepera ME, Favale S. Minimal Cardiac Perforation by Lead Pacemaker Complicated with Pericardial Effusion and Impending Tamponade: Optimal Management with No Pericardiocentesis Driven by Echocardiography. Diagnostics. 2020; 10(4):191.

Chicago/Turabian Style

Caiati, Carlo; Pollice, Paolo; Truncellito, Luigi; Lepera, Mario E.; Favale, Stefano. 2020. "Minimal Cardiac Perforation by Lead Pacemaker Complicated with Pericardial Effusion and Impending Tamponade: Optimal Management with No Pericardiocentesis Driven by Echocardiography" Diagnostics 10, no. 4: 191.

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