RICHARD H. MARTIN, M.D.; JAMES W. MACKENZIE, M.D.; CARL H. ALMOND, M.D.; BAIKUNTH K. SINGH, M.D.; JACK M. MARTT, M.D., F.A.C.P.
Long-term cardiac pacing has unquestionably improved the prognosis for patients with complete heart block associated with Adams-Stokes syncope. However, problems may result from failure of pacemaker components, wire breakage, and fibrosis around myocardial electrodes, as well as from the operative procedures necessary for implantation of pacing devices (1). Pacing by means of permanent transvenous intracardiac electrodes obviates the need for thoracotomy but may cause other difficulties. This paper reports a perforation of the heart by an electrode catheter designed for long-term pacing and describes factors that may contribute to this complication.
A 55-year-old man (UMMC 04-10-56) was admitted
MARTIN RH, MACKENZIE JW, ALMOND CH, SINGH BK, MARTT JM. Perforation of the Heart by a Permanent Transvenous Pacemaker. Ann Intern Med. ;67:822–825. doi: 10.7326/0003-4819-67-4-822
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Published: Ann Intern Med. 1967;67(4):822-825.
Cardiology, Rhythm Disorders and Devices.
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