The Subtle Journey of a Right Atrial Lead: Hemopneumothorax Due to Subacute Pacemaker Lead Perforation

JACC Case Rep. 2020 Jun 17;2(6):902-906. doi: 10.1016/j.jaccas.2020.05.018. eCollection 2020 Jun.


We report an unusual case of subacute right atrial perforation by a screw-in pacemaker lead that migrated into the right lung causing hemopneumothorax 2 weeks after the procedure. After transvenous simple manual traction and minithoracotomy repair of the right atrial wall, the lead was repositioned without any complications. (Level of Difficulty: Beginner.).

Keywords: CT, computed tomography; CXR, chest x-ray; ED, emergency department; atrial lead; cardiac pacemaker; hemothorax; perforation.

Publication types

  • Case Reports