Inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later: a case report
<p>Abstract</p> <p>Introduction</p> <p>Inadvertent malposition of a pacemaker ventricular lead into the left ventricle is an uncommon event, and its actual incidence is probably unknown. It may be underestimated and underreported because of a possible asymptomatic cours...
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| Format: | Article |
| Language: | English |
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BMC
2011-02-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/5/1/54 |
| _version_ | 1811251573014134784 |
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| author | Bogin Marc B Azab Basem N Zaher Medhat F Bekheit Soad G |
| author_facet | Bogin Marc B Azab Basem N Zaher Medhat F Bekheit Soad G |
| author_sort | Bogin Marc B |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Inadvertent malposition of a pacemaker ventricular lead into the left ventricle is an uncommon event, and its actual incidence is probably unknown. It may be underestimated and underreported because of a possible asymptomatic course. A 12-lead electrocardiogram is important to confirm proper placement.</p> <p>Case presentation</p> <p>We report a case of a 60-year-old Caucasian man with a malpositioned transvenous permanent pacing lead into the left ventricle via a patent foramen ovale that was not suspected during implantation and went undiagnosed for two years without complications. The patient remained asymptomatic as he was being treated with oral anticoagulation therapy for atrial fibrillation. The decision was made to leave the pacing lead in place and continue lifelong warfarin therapy.</p> <p>Conclusions</p> <p>Inadvertent insertion of pacing wires into the left ventricle is a potentially dangerous complication that may happen under fluoroscopic guidance and may be overlooked by routine pacemaker interrogation. It is advisable to obtain a 12-lead electrocardiogram during or immediately after transvenous pacemaker implantation rather than use a routine pacemaker interrogation or a limited electrocardiogram.</p> |
| first_indexed | 2024-04-12T16:22:26Z |
| format | Article |
| id | doaj.art-f3e58e1aa70c44feaab6d7f4227af4e1 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-12T16:22:26Z |
| publishDate | 2011-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-f3e58e1aa70c44feaab6d7f4227af4e12022-12-22T03:25:32ZengBMCJournal of Medical Case Reports1752-19472011-02-01515410.1186/1752-1947-5-54Inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later: a case reportBogin Marc BAzab Basem NZaher Medhat FBekheit Soad G<p>Abstract</p> <p>Introduction</p> <p>Inadvertent malposition of a pacemaker ventricular lead into the left ventricle is an uncommon event, and its actual incidence is probably unknown. It may be underestimated and underreported because of a possible asymptomatic course. A 12-lead electrocardiogram is important to confirm proper placement.</p> <p>Case presentation</p> <p>We report a case of a 60-year-old Caucasian man with a malpositioned transvenous permanent pacing lead into the left ventricle via a patent foramen ovale that was not suspected during implantation and went undiagnosed for two years without complications. The patient remained asymptomatic as he was being treated with oral anticoagulation therapy for atrial fibrillation. The decision was made to leave the pacing lead in place and continue lifelong warfarin therapy.</p> <p>Conclusions</p> <p>Inadvertent insertion of pacing wires into the left ventricle is a potentially dangerous complication that may happen under fluoroscopic guidance and may be overlooked by routine pacemaker interrogation. It is advisable to obtain a 12-lead electrocardiogram during or immediately after transvenous pacemaker implantation rather than use a routine pacemaker interrogation or a limited electrocardiogram.</p>http://www.jmedicalcasereports.com/content/5/1/54 |
| spellingShingle | Bogin Marc B Azab Basem N Zaher Medhat F Bekheit Soad G Inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later: a case report Journal of Medical Case Reports |
| title | Inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later: a case report |
| title_full | Inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later: a case report |
| title_fullStr | Inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later: a case report |
| title_full_unstemmed | Inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later: a case report |
| title_short | Inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later: a case report |
| title_sort | inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later a case report |
| url | http://www.jmedicalcasereports.com/content/5/1/54 |
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