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Erosion of Implantable Cardioverter Defibrillator Patch Electrode Into Airways : An Unusual Cause of Recurrent Hemoptysis

Asok Dasgupta; Atul C. Mehta; Herbert P. Wiedemann; Yvonne Meli; Thomas W. Rice; Patrick Tchou
Author and Funding Information

Affiliations: From the Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland,  From the General Thoracic Surgery, Cleveland Clinic Foundation, Cleveland,  From the Electrophysiology Section, Department of Cardiology, Cleveland Clinic Foundation, Cleveland

Affiliations: From the Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland,  From the General Thoracic Surgery, Cleveland Clinic Foundation, Cleveland,  From the Electrophysiology Section, Department of Cardiology, Cleveland Clinic Foundation, Cleveland

Affiliations: From the Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland,  From the General Thoracic Surgery, Cleveland Clinic Foundation, Cleveland,  From the Electrophysiology Section, Department of Cardiology, Cleveland Clinic Foundation, Cleveland


1998 by the American College of Chest Physicians


Chest. 1998;113(1):252-254. doi:10.1378/chest.113.1.252
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Abstract

A 74-year-old man presented with a 9-month history of recurrent hemoptysis. He had implantable cardioverter defibrillator (ICD) patch electrodes placed 4 years before. A chest x-ray film showed crinkling of his posteriorly placed ICD patch which also appeared to have separated from his ventricle on a CT scan of the chest. Bronchoscopy localized the ICD patch electrode to the lower lobe of the left lung. He underwent a lobectomy and was treated with antibiotics at home. In patients with known ICD implantation, patch erosion into the airways should be considered in the differential diagnosis of recurrent hemoptysis.


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