Inadvertent malposition of a permanent ventricular lead into the middle cardiac vein was misdiagnosed as lead perforation

Abstract A 54‐year‐old man had a dual‐chamber pacemaker implantation 9 years ago because of sick sinus syndrome at a different facility. The patient did not undergo any evaluation of his pacemaker for a long time with cardiologist. The patient was admitted to another hospital manifesting dyspnea and...

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Bibliographic Details
Main Authors: Mingxian Chen, Zhihong Wu, Zhenjiang Liu, Lin Hu, Xuping Li, Qiming Liu, Shenghua Zhou
Format: Article
Language:English
Published: Wiley 2022-07-01
Series:Annals of Noninvasive Electrocardiology
Subjects:
Online Access:https://doi.org/10.1111/anec.12949
Description
Summary:Abstract A 54‐year‐old man had a dual‐chamber pacemaker implantation 9 years ago because of sick sinus syndrome at a different facility. The patient did not undergo any evaluation of his pacemaker for a long time with cardiologist. The patient was admitted to another hospital manifesting dyspnea and palpitation with atrial fibrillation for 1 month, and he was diagnosed with ventricular lead perforation. For further treatment, he was referred to our hospital, and an elective replacement indicator (ERI) of the battery state and a malpositioned ventricular lead into the middle cardiac vein were found. Finally, the pacing lead was left in the primary place and the pacemaker was replaced.
ISSN:1082-720X
1542-474X