Abstract. – Myocardial perforation is a complication following pacemaker implantation that may cause cardiac tamponade.
We present an original case of myocardial lead perforation not complicated by acute cardiac tamponade.
The patient with an acute myocardial infarct had a high bleeding risk both in the acute phase of lead insertion (anticoagulant and triple platelet anti-aggregation therapy) and after few days, the percutaneous extraction lead for the double platelet antiaggregant therapy.
Torrent-Guasp’s theory is considered for explaining the clinical course of patient.
Echocardiography and magnetic resonance imaging (MRI) evaluation showed a diffuse pericardial non-hemorrhagic fibrinous effusion and guide the clinical management.
Corresponding Authors: Concetta Torromeo, MD; e-mail: firstname.lastname@example.org;
Giovanni Truscelli, MD; e-mail: email@example.com
To cite this article
G. Truscelli, N. Galea*, F. Barillà, P. Pellicori, F. Toscano, C. Gaudio, I. Carbone*, C. Torromeo
ECHO and magnetic resonance imaging in a patient with high bleeding risk and ventricular perforation: a case report and literature review
Eur Rev Med Pharmacol Sci
Vol. 15 - N. 6