Case report
Erosion of the left ventricle by the epicardial patch of an
automatic implantable cardioverter defibrillator
A G C Suttona, J M McCombb, M A de Beldera
a Cardiothoracic
Division, South Cleveland Hospital, Marton Road, Middlesbrough TS4
3BW, UK, b Freeman Hospital, Freeman Road, High Heaton,
Newcastle Upon Tyne NE7 7DN, UK
Correspondence to: Dr Sutton.
Accepted for publication 10 November 1998
A 56 year old man with an implantable cardioverter
defibrillator was admitted with chest pain and collapse. Erosion of the left ventricle by an epicardial patch was confirmed by thoracotomy, but
surgical repair was impossible. This rare complication should be
considered in patients with a history of cardioverter
defibrillators implanted by thoracotomy.
Keywords: implantable cardioverter defibrillator; epicardial patch
© 1999 by Heart
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