Advanced Ultrasound in Diagnosis and Therapy ›› 2018, Vol. 2 ›› Issue (2): 161-163.doi: 10.37015/AUDT.2018.180817

• Case Report • Previous Articles     Next Articles

Subacute Right Ventricular Pacing Lead Perforation Diagnosed by Echocardiography

Jinjie Xie, MDa, Rongjuan Li, MDa, Taiyang Luo, MDb, Ya Yang, MDa,*()   

  1. a Department of Ultrasound, Anzhen Hospital of Capital Medical University, Beijing, China
    b Department of Cardiology, Anzhen Hospital of Capital Medical University, Beijing, China
  • Received:2018-05-28 Online:2018-08-18 Published:2018-08-19
  • Contact: Ya Yang, MD,


A 69-year-old woman with sick sinus syndrome underwent permanent pacemaker implantation in our hospital. A mild and persistent chest pain occurred 2 days after device implantation, and myocardial perforation without pericardial effusion was found at the tip of the right ventricular lead by two-dimensional transthoracic echocardiography. The diagnosis was then confirmed by fluoroscopy, and the lead was repositioned under fluoroscopic guidance.

Key words: cardiac pacing; myocardial perforation; echocardiography