Erosion of implantable cardioverter defibrillator patch electrode into airways: an unusual cause of recurrent hemoptysis

A 74-year-old man presented with a 9-month history of recurrent hemoptysis. He had implantable cardioverter defibrillator (ICD) patch electrodes placed 4 years before. A chest x-ray film showed crinkling of his posteriorly placed ICD patch which also appeared to have separated from his ventricle on...

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Bibliographic Details
Published in:	Chest Vol. 113; no. 1; p. 252
Main Authors:	Dasgupta, A, Mehta, A C, Rice, T W, Tchou, P, Meli, Y, Wiedemann, H P
Format:	Journal Article
Language:	English
Published:	United States 01-01-1998
Subjects:	Aged Airway Obstruction - diagnosis Airway Obstruction - etiology Airway Obstruction - surgery Bronchi - injuries Bronchoscopy Defibrillators, Implantable - adverse effects Diagnosis, Differential Follow-Up Studies Foreign-Body Migration - complications Foreign-Body Migration - diagnosis Foreign-Body Migration - surgery Hemoptysis - diagnosis Hemoptysis - etiology Hemoptysis - surgery Humans Lung Diseases - diagnosis Lung Diseases - etiology Lung Diseases - surgery Male Pneumonectomy Radiography, Thoracic Recurrence
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Summary:	A 74-year-old man presented with a 9-month history of recurrent hemoptysis. He had implantable cardioverter defibrillator (ICD) patch electrodes placed 4 years before. A chest x-ray film showed crinkling of his posteriorly placed ICD patch which also appeared to have separated from his ventricle on a CT scan of the chest. Bronchoscopy localized the ICD patch electrode to the lower lobe of the left lung. He underwent a lobectomy and was treated with antibiotics at home. In patients with known ICD implantation, patch erosion into the airways should be considered in the differential diagnosis of recurrent hemoptysis.
ISSN:	0012-3692
DOI:	10.1378/chest.113.1.252