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Acta Medica Medianae
Vol. 49, No 2, June, 2010

UDK 61
ISSN 0365-4478(Printed version)
ISSN 1821-2794(Online)




Correspondence to: Tomislav Kostić
Clinic of Cardiology, Clinical Center
Invasive Diagnostics and Pacemaker Unit
E-mail: tkostic1977@gmail.com






Original article
UDC: 616.124-001-06:615.817



Perforation of right ventricle by active fixation lead of permanent pacemaker - case report


Tomislav Kostić1, Zoran Perišić1, Dragan Milić2, Svetlana Apostolović1, Sonja Šalinger Martinović1, Miloje Tomašević3, Milan Živković1 and Nenad Božinović1

Clinic of cardiology, Clinical Center Niš1
Clinic of Vascular Surgery, Clinical Center Niš2
Clinic of Cardiology, Clinical Center of Serbia3


Ventricular perforation is a rare complication of permanent pacemaker implantation. We report a case of 61-year-old woman with sick sinus syndrome who had the dual chamber pacemaker implanted. Five days after the implantation, the perforation of right ventricle by active ventricular fixation lead was detected. 12-lead surface electro-cardiography and multislice chest scan are necessary for detection of rare complications after the pacemaker implantation. Acta Medica Medianae 2010;49(2):48-50.


Key words: active lead, permanent pacemaker, myocardium perforation