Successful Management of Right Ventricular Perforation Associated with a Pacemaker Lead During Off-Pump CABG Surgery: A Case Report
| Author | Masoud Tarbiat | en |
| Author | Mohammad Hossein Bakhshaei | en |
| Author | Mehdi Moradi | en |
| Issued Date | 2017-08-31 | en |
| Abstract | Introduction: Intraoperative right ventricular perforation due to pacing catheter after its successful and uneventful insertion is a rare complication. Here, we present a case of cardiac arrest due to right ventricular perforation associated with a pacemaker lead during off-pump coronary artery bypass graft surgery. Case Presentation: The case was a 68-year-old male, who was admitted to our hospital with retrosternal chest pain. He had a history of implantation of a permanent pacemaker due to symptomatic complete atrioventricular block. Based on angiography, the diagnosis was 3- vessel disease involving the left anterior descending, second obtuse marginal, and right coronary arteries. The right ventricle was perforated by the tip of the permanent pacemaker lead during off-pump coronary artery bypass graft surgery. Subsequently, the patient suddenly experienced cardiac arrest and underwent emergency on-pump cardiac surgery. Conclusions: This case showed that in some situations, emergency surgery as a life saving procedure may be required in cardiac perforation due to permanent pacemaker lead even following cardiac arrest. | en |
| DOI | https://doi.org/10.5812/aapm.57799 | en |
| Keyword | Pacemaker | en |
| Keyword | Artificial | en |
| Keyword | Coronary Artery Bypass | en |
| Keyword | Off-Pump | en |
| Publisher | Brieflands | en |
| Title | Successful Management of Right Ventricular Perforation Associated with a Pacemaker Lead During Off-Pump CABG Surgery: A Case Report | en |
| Type | Case Report | en |