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Delayed Complications Following Pacemaker Implantation
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2002
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Acute complications of permanent pacemaker implantation are well known, but recent reports describe perforation and pericarditis as late complications that can occur days to weeks after uncomplicated implantation and may be fatal if not recognized early. The study reports five patients with late complications due to active‑fixation leads and reviews their clinical presentation and management. Late perforation of the right atrium or right ventricle is uncommon but should be suspected in patients with a device implanted within a week to several months prior to chest pain. ELLENBOGEN, K.A., et al., Delayed Complications Following Pacemaker Implantation.
ELLENBOGEN, K.A., et al. : Delayed Complications Following Pacemaker Implantation. Acute complications resulting from permanent pacemaker implantation are well known and include perforation of the right atrium or right ventricle. Recently, several reports have described the occurrence of perforation and pericarditis as late complications following pacemaker implantation. These complications may occur days to weeks following uncomplicated pacemaker implantation and may lead to death if they are not recognized early. Five patients with late complications caused by active‐fixation leads are reported and the clinical features of their presentation and management are reviewed. Late perforation of the right atrium or right ventricle is an uncommon complication after pacemaker implantation but should be suspected by the general cardiologist in a patient who has a device implanted within a week to several months prior to the development of chest pain.