Perforation of the Heart by a Permanent Transvenous Pacemaker
Authors: RICHARD H. MARTIN
Journal: Annals of Internal Medicine (1967)

Case Studies1 October 1967Perforation of the Heart by a Permanent Transvenous PacemakerRICHARD 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.RICHARD H. MARTIN, M.D.Search for more papers by this author, JAMES W. MACKENZIE, M.D.Search for more papers by this author, CARL H. ALMOND, M.D.Search for more papers by this author, BAIKUNTH K. SINGH, M.D.Search for more papers by this author, JACK M. MARTT, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-67-4-822 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLong-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.CASE REPORTA 55-year-old man (UMMC 04-10-56) was admitted...References1. MORSENICHOLSBLANCOADAMMONHEIT DPHTGAR: Comparative study of pacemakers. Dis. Chest 51: 74, 1967. CrossrefMedlineGoogle Scholar2. MACKENZIESCHUDERRAHMOELLERALMONDSTOECKLE JWJCGACHH: Clinical use of the micromodule pacemaker receiver. Surgery 59: 944, 1966. MedlineGoogle Scholar3. Instruction Manual: Model 5870-C/5816 Chardack-Greatbatch Implantable Cardiac Pacemaker with Catheter Electrode. Medtronic, Inc., Minneapolis, 1965, p. 1. Google Scholar4. LAGERGRENJOHANSSONLANDEGRENEDHAG HLJO: One hundred cases of treatment for Adams-Stokes syndrome with permanent intravenous pacemaker. J. Thorac. Cardiov. Surg. 50: 710, 1965. CrossrefMedlineGoogle Scholar5. HARRISBLUESTONEBUSBYDAVIESLEATHAMSIDDONSSOWTON AREGAHE: The management of heart block. Brit. Heart J. 27: 469, 1965. CrossrefMedlineGoogle Scholar6. NATHANCENTERPINAMEDOWKELLER DASREAW: Perforation during indwelling catheter pacing. Circulation 33: 128, 1966. CrossrefMedlineGoogle Scholar7. JENSENSCHMIDTGARAMELLALYNCHPETERSON NKWRJJMFCA: Intracavitary cardiac pacing. JAMA 195: 916, 1966. CrossrefMedlineGoogle Scholar8. MOSSRIVERS AJR: Myocardial perforation by a permanent transvenous pacemaker. New Eng. J. Med. 275: 265, 1966. CrossrefMedlineGoogle Scholar9. BRUCEBLACKMONCOBBDODGE RAJRLAHT: Treatment of asystole or heart block during acute myocardial infarction with electrode catheter pacing. Amer. Heart J. 69: 460, 1965. CrossrefMedlineGoogle Scholar10. MECKSTROTHSCHOENFELDWARDWELL CVCDGA: Myocardial perforation from a permanent endocardial electrode. J. Thorac. Cardiov. Surg. 54: 16, 1967. CrossrefMedlineGoogle Scholar11. DANIELSONSHABETAIBRYANT GKRLR: Failure of endocardial pacemaker due to late myocardial perforation: successful restoration of cardiac pacing by conversion to an epicardial system. Ibid., p. 42. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Columbia, MissouriFrom the Departments of Medicine and Surgery, University of Missouri School of Medicine, Columbia, Mo.Requests for reprints should be addressed to Richard H. Martin, M.D., Department of Medicine, University of Missouri, Columbia, Mo. 65201. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByComplications following Placement or Extraction of Endovascular Pacemaker and Defibrillator Leads-- Cardiothoracic Surgical Intervention: Case ReportsPermanent Cardiac Pacing with Sutureless Myocardial Electrodes: Experience in First One Hundred PatientsInitial Experience with a Sutureless, Screw-in Electrode for Cardiac PacingPermanent Pacemakers: 8-Year Follow-Up Study Incidence and Management of Congestive Cardiac Failure and PerforationsVICTORIA BERNSTEIN, M.R.C.S., L.R.C.P., C. EVE ROTEM, M.D., F.R.C.P.(C), M.R.C.P., DWIGHT I. PERETZ, M.D., F.R.C.P.(C), F.A.C.P. 1 October 1967Volume 67, Issue 4Page: 822-825KeywordsCardiac surgeryCathetersFibrosisHeartHeart failurePacemakersSurgerySyncopeThoracic surgeryThoracotomy Issue Published: 1 October 1967 PDF DownloadLoading ...