EURORAD ESR

Case 13731

Perforation of right ventricle by pacemaker lead

Author(s)
Prafulla Patil, Samavia Raza, Evangelos Skondras.

Royal Brompton and Harefield NHS Foundation Trust.
 
Patient
male, 45 year(s)
 
 
  • Figure 1
    CT chest

    Axial image through the ventricles with wide window settings show perforation of the right ventricle free wall by pacemaker lead.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    CT chest

    Axial image at the level of ascending aorta shows hyperdense fluid in the pericardial sac in keeping with haemopericardium (asterisk). Incidental finding of left-sided SVC (arrow) can be seen.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    CT chest

    Oblique reformatted image better demonstrates perforation of right ventricle free wall and epicardial fat (asterisk), and associated hemopericardium (star).

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 4
    CT chest

    Oblique coronal reformatted image shows the incidental left-sided SVC which may cause technical difficulty during pacemaker insertion through it.

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
Axial image through the ventricles with wide window settings show perforation of the right ventricle free wall by pacemaker lead.
 
Axial image at the level of ascending aorta shows hyperdense fluid in the pericardial sac in keeping with haemopericardium (asterisk). Incidental finding of left-sided SVC (arrow) can be seen.
 
Oblique reformatted image better demonstrates perforation of right ventricle free wall and epicardial fat (asterisk), and associated hemopericardium (star).
 
Oblique coronal reformatted image shows the incidental left-sided SVC which may cause technical difficulty during pacemaker insertion through it.
 
 
 
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