Patch migration: a serious late complication of thoracotomy lead systems |
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Authors: | I Singer N Calzada EH Austin |
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Affiliation: | Division of Cardiology, University of Louisville, Kentucky 40292, USA. |
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Abstract: | Thoracotomy patch leads used for implantable cardioverter defibrillators (ICDs) are generally safe and effective. We describe two patients in whom a late complication of patch lead migration occurred years after the original implants, causing a bronchopleural fistula in one and lingular lobe collapse in the other patient. We conclude that patch migration is a late but possible complication of extrapericardial ICD leads, and should be suspected in patients who present with hemoptysis, atypical pneumonia, or lung collapse after the initial ICD surgery. |
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