Author/Authors :
Moradi Mehdi نويسنده , Tarbiat Masoud نويسنده Department of Anesthesia, Hamedan University of Medical Sciences, Hamedan, Iran , Bakhshaei Mohammad Hossein نويسنده Cardiac Aneasthesiologist, Fellowship of Cardiac Aneasthesia, Associate Professor of Cardiac Aneasthesia, Clinical Research Development Unit of Farshchian Hospital, Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract :
[Introduction]Intraoperative right ventricular perforation due to pacing catheter after its successful and uneventful insertion is a rare complication. Here, we present a case of cardiac arrest due to right ventricular perforation associated with a pacemaker lead during off-pump coronary artery bypass graft surgery.[Case Presentation]The case was a 68-year-old male, who was admitted to our hospital with retrosternal chest pain. He had a history of implantation of a permanent pacemaker due to symptomatic complete atrioventricular block. Based on angiography, the diagnosis was 3- vessel disease involving the left anterior descending, second obtuse marginal, and right coronary arteries. The right ventricle was perforated by the tip of the permanent pacemaker lead during off-pump coronary artery bypass graft surgery. Subsequently, the patient suddenly experienced cardiac arrest and underwent emergency on-pump cardiac surgery.[Conclusions]This case showed that in some situations, emergency surgery as a life saving procedure may be required in cardiac perforation due to permanent pacemaker lead even following cardiac arrest.
