Pacing Lead-Induced Granuloma in the Atrium: A Foreign Body Reaction to Polyurethane

Pacing Lead-Induced Granuloma in the Atrium: A Foreign Body Reaction to Polyurethane

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We described a case of an 82-year-old male who presented with a granuloma entrapping the polyurethane-coated Chopsticks pacing lead at the site of contact on the atrium.He had been paced for 8 years without symptoms or signs suggestive of an allergic reaction to the pacemaker system and died from thrombosis of the superior mesenteric artery and heart failure.A histological examination of the nodule showed an incidental granuloma with multinucleated giant cells.No Plastic Condensor Fan Blade granuloma was found in the heart or the lung.