Successful Conservative Management of Right Ventricular Perforation Caused by Temporary Pacemaker Placement during Complex Percutaneous Coronary Intervention: A Case Report.
FP, A., M, M., DL, M., B, H., M, F., & D, I. (2026). Successful Conservative Management of Right Ventricular Perforation Caused by Temporary Pacemaker Placement during Complex Percutaneous Coronary Intervention: A Case Report.. Acta medica Indonesiana.
FP A, M M, DL M, B H, M F, D I. Successful Conservative Management of Right Ventricular Perforation Caused by Temporary Pacemaker Placement during Complex Percutaneous Coronary Intervention: A Case Report.. Acta medica Indonesiana. 2026; PMID: 42421376
FP A, M M, DL M, et al. Successful Conservative Management of Right Ventricular Perforation Caused by Temporary Pacemaker Placement during Complex Percutaneous Coronary Intervention: A Case Report.[J]. Acta medica Indonesiana. 2026.
@article{fp2026,
author = {Apriansyah FP and Munawar M and Munawar DL and Hartono B and Fadil M and Indra D},
title = {Successful Conservative Management of Right Ventricular Perforation Caused by Temporary Pacemaker Placement during Complex Percutaneous Coronary Intervention: A Case Report.},
journal = {Acta medica Indonesiana},
year = {2026},
note = {PMID: 42421376},
}
TY - JOUR AU - Apriansyah FP AU - Munawar M AU - Munawar DL AU - Hartono B AU - Fadil M AU - Indra D TI - Successful Conservative Management of Right Ventricular Perforation Caused by Temporary Pacemaker Placement during Complex Percutaneous Coronary Intervention: A Case Report. T2 - Acta medica Indonesiana PY - 2026 AN - PMID:42421376 ER -
Cardiac tamponade is a critical condition that can result from complications during invasive cardiac procedures. This case report describes a 67-year-old male who developed right ventricular perforation leading to cardiac tamponade following elective complex percutaneous coronary intervention with rotational atherectomy and temporary pacemaker placement. By performing emergent pericardiocentesis and using a pigtail catheter with sustained negative pressure, we successfully managed a massive pericardial effusion of 2,600 cc. The patient stabilized without requiring surgical intervention, demonstrating favorable outcomes. This case underscores the importance of timely recognition and personalized management strategies in the conservative treatment of cardiac tamponade secondary to right ventricular perforation.