Author + information
- Received December 12, 2011
- Accepted December 15, 2011
- Published online June 12, 2012.
A 51-year-old man with previous myocardial infarction received a single-chamber implantable cardioverter-defibrillator (ICD) in 2002 for syncope and inducible ventricular tachycardia at electrophysiologic testing. In mid-2008, he noted skin discoloration and pain over his ICD pocket. Due to financial constraints, he did not present to medical attention. Eventually the skin eroded at the site, and in November 2008, the device extruded through the skin opening. His pain resolved, and the erosion healed around the protruding ICD lead. He left the ICD pulse generator externally dangling from the lead. The ICD erosion was brought to medical attention only after he saw a physician for other reasons in 2011 (A). ICD interrogation demonstrated normal function. The patient refused recommendation for transvenous extraction of the lead. Therefore, the lead was transected as proximally as possible during gentle traction. At the 3-week follow-up, the skin opening was healing well without evidence of infection.
- Received December 12, 2011.
- Accepted December 15, 2011.
- American College of Cardiology Foundation