Vol. 23 No. 4 (2019)
CASE REPORTS

Clinical case of asymptomatic perforation of right ventricle during permanent pacemaker implantation

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  • A. Verevetinov,
  • E. Tarasyuk,
  • I. Dorovskih,
  • J. Vakhnenko,
  • V. Nikitin,
  • G. Urazova,
  • O. Brueva,
  • I. Basanova,
  • S. Shkarban
A. Verevetinov
Amur State Medical Academy, Blagoveshchensk
Bio
E. Tarasyuk
Amur State Medical Academy, Blagoveshchensk
I. Dorovskih
Amur State Medical Academy, Blagoveshchensk
J. Vakhnenko
Amur State Medical Academy, Blagoveshchensk
V. Nikitin
Amur State Medical Academy, Blagoveshchensk
G. Urazova
Amur State Medical Academy, Blagoveshchensk
O. Brueva
Amur State Medical Academy, Blagoveshchensk
I. Basanova
Amur State Medical Academy, Blagoveshchensk
S. Shkarban
Amur State Medical Academy, Blagoveshchensk
DOI: https://doi.org/10.21688/1681-3472-2019-4-91-97

Published 2019-12-27

Keywords

  • clinical case,
  • late perforation of the right ventricle,
  • pacemaker

How to Cite

Verevetinov, A., Tarasyuk, E., Dorovskih, I., Vakhnenko, J., Nikitin, V., Urazova, G., Brueva, O., Basanova, I., & Shkarban, S. (2019). Clinical case of asymptomatic perforation of right ventricle during permanent pacemaker implantation. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 23(4), 91–97. https://doi.org/10.21688/1681-3472-2019-4-91-97

Copyright (c) 2019 Verevetinov A. N., Tarasyuk E. S., Dorovskih I. E., Vakhnenko J. V., Nikitin V. N., Urazova G. E., Brueva O. N., Basanova I. V., Shkarban S. V.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

The present paper discusses one of the serious complications of electrocardiostimulator implantation: electrode perforation of the right ventricle wall, a condition that can occur in both the early and late postoperative periods. The latter occurs less frequently, and the patient may be asymptomatic; this results in an adverse effect on the patient’s quality of life and disease prognosis. Knowledge about the symptoms of late perforation and algorithms to examine patients suspected to have this complication contributes to timely surgical intervention as well as prevention of heart failure progression and fatal outcomes. This paper describes a clinical case of right ventricular perforation 1.5 years after electrocardiostimulator implantation, wherein, despite the absence of pronounced clinical symptoms, the patient was successfully diagnosed with pacemaker testing, Holter diagnostics, echocardiography and computed tomography of thoracic organs. Myocardial damage was accompanied by small left-hand bone-diaphragm hydrotorax and hydropericardium. The risk factors of perforation in the present case were low body weight and age. In the course of the surgical operation performed with the exact observance of the chosen technique, the integrity of the myocardium of the right ventricle and the function of the electrocardiostimulator were restored. Thus, the life-threatening consequences of the described complication were prevented.

Received 12 September 2019. Revised 20 December 2019. Accepted 23 December 2019.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

PDF (Русский)

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