Case Report
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 16, 2014; 2(6): 206-208
Published online Jun 16, 2014. doi: 10.12998/wjcc.v2.i6.206
Case of early right ventricular pacing lead perforation and review of the literature
Gary Nash, John Mark Williams, Rajasekhar Nekkanti, Assad Movahed
Gary Nash, John Mark Williams, Rajasekhar Nekkanti, Assad Movahed, Department of Cardiovascular Sciences, East Carolina University, Brody School of Medicine, East Carolina Heart Institute, Greenville, NC 27858, United States
Author contributions: Nash G, Williams JM, Nekkanti R and Movahed A contributed to the manuscript writing and revision.
Supported by “East Carolina Heart Institute”
Correspondence to: Assad Movahed, MD, Department of Cardiovascular Sciences, East Carolina University, Brody School of Medicine, East Carolina Heart Institute, 115 Heart Drive, Mail Stop 651, Greenville, NC 27834, United States. movaheda@ecu.edu
Telephone: +1-252-7444400 Fax: +1-252-7447724
Received: November 19, 2013
Revised: March 6, 2014
Accepted: May 8, 2014
Published online: June 16, 2014
Core Tip

Core tip: Cardiac perforation should be considered in cases of pacing lead malfunction. Chest computed tomography is helpful in diagnosing lead perforation and can be done without contrast and using a small field of view to diminish the effective radiation dose.