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Migration and Right Atrial Perforation of an Accufix Atrial Lead Retention Wire Following Partial Lead Removal During Myomectomy FREE TO VIEW

Edward P. Gerstenfeld; Yogarajah Balarajan; Robert Cooke; Robert S. Mittleman
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From the Section of Cardiac Electrophysiology and Pacing, Division of Cardiology, Department of Medicine, University of Massachusetts Medical Center, Worcester

Edward Gerstenfeld, MD, UMMC, Division of Cardiology, 55 Lake Avenue North, Worcester, MA 01655

1998 by the American College of Chest Physicians

Chest. 1998;114(2):637-639. doi:10.1378/chest.114.2.637
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A 36-year-old man with a history of hypertrophic obstructive cardiomyopathy presented to the emergency room with "stabbing" chest pain. He had undergone dual-chamber pacemaker implantation in 1993 using an atrial lead (Accufix; Telectronics; Englewood, Colo) and a myomectomy in 1996 during which the distal portion of the atrial lead was removed. Digital fluoroscopy revealed that the retention wire had migrated out of the remaining atrial lead and perforated the right atrium. The retention wire was successfully removed percutaneously. The need for complete removal of the retention wire in the Accufix lead at the time of open-heart surgery is emphasized.




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