Recognition and Management of Right Ventricular Wall Perforation Following Permanent Pacemaker Implantation: A Case Report

Nguyễn Mạnh Hùng

doi:10.58354/jvc.117.2025.885

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CA LÂM SÀNG Issue: Số 117 BỆNH RỐI LOẠN NHỊP TIM

Recognition and Management of Right Ventricular Wall Perforation Following Permanent Pacemaker Implantation: A Case Report

Published: July 25, 2026

10.58354/jvc.117.2025.885

Abstract

Cardiac perforation is a rare but serious complication of a permanent pacemaker. Chest X-rays, cardiac computed tomography (CT) scans, or transthoracic echocardiography (TTE) are used to identify pacemaker lead perforation. However, the timing of cardiac perforation has been unclear. We report a case of early right ventricular perforation, diagnosed and determined the timing using the programmer. The patient was managed with the perforating electrode removed and a new electrode implanted safely in the Hybrid room with the surgical team on standby

Keywords

Right ventricular perforation Pacemaker Timing Hybrid room

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