Recurrent pericardial effusion caused by pacemaker lead perforation and warfarin therapy at seven years after implantation.

Abstract

A 66-year-old man was implanted with a pacemaker. Seven years after implantation he was admitted due to cardiogenic cerebral embolism and warfarin therapy was introduced. After that, he suffered recurrent pericardial effusion for unexplained reasons. An exploratory thoracotomy revealed that the screw of the atrial lead had penetrated through the right auricular appendage wall.

• Authors: Hiroyuki Nakanishi, Kazunori Kashiwase, Mayu Nishio, Mitsuru Wada, Akio Hirata, Yasunori Ueda
• Journal: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology (Europace) Vol. 14 Issue 2 Pg. 297 (Feb 2012) ISSN: 1532-2092 [Electronic] England
• PMID: 22266846 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anticoagulants
• Warfarin

Topics

• Aged
• Anticoagulants (administration & dosage)
• Atrial Appendage (injuries)
• Electrodes, Implanted (adverse effects)
• Humans
• Male
• Pacemaker, Artificial (adverse effects)
• Pericardial Effusion (etiology, prevention & control)
• Recurrence
• Treatment Outcome
• Warfarin (adverse effects)
• Wounds, Penetrating (etiology)