Abstract
Intraabdominal migration of a permanent pacemaker lead is unusual. A 78-year-old woman who had undergone implantation of a pacemaker (Zephyr XL SR 5626 SSIR; St. Jude Medical, St. Paul, MN, USA) with a St. Jude Medical Tendril ST Optim pacing lead in the right subclavian position for symptomatic bradyarrhythmia 1 month previously, was evaluated because of pleuritic chest pain and dyspnea. Chest radiography showed displacement of the lead (Figure 1). Computed tomography showed that the lead was in the intraabdominal cavity (Figure 2). The patient was diagnosed with perforation of the right ventricular free wall and diaphragm. The lead was removed by simple traction under fluoroscopic guidance with surgical backup and close monitoring, and it was repositioned. No complication was observed.
Chest radiograph showing displacement of the lead. Computed tomography showing the lead in the abdominal cavity.
Footnotes
Declaration of conflicting interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.