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Automatic Internal Cardioverter-Defibrillator Patch Erosion Into the Upper Airway Presenting as a Cavitary Lesion

Scott D. Lick; Vincent R. Conti
Author and Funding Information

From the Division of Cardiothoracic Surgery, Department of Surgery, the University of Texas Medical Branch, Galveston


1997 by the American College of Chest Physicians


Chest. 1997;112(4):1144-1146. doi:10.1378/chest.112.4.1144
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Published online

Abstract

Erosion of an automatic internal cardioverter-defibrillator (AICD) patch into the lingular bronchus occurred 4 years after implantation; the erosion presented as a cavitary mass associated with hemoptysis and weight loss. On bronchoscopy to evaluate for suspected carcinoma, a cavity was entered through a bronchial defect and the AICD patch clearly identified. The complication was successfully treated with patch removal and fistula closure.


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