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ISSN 0188-2198 (Print)

2002, Number 2

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Rev Mex Cardiol 2002; 13 (2)

Transarterial permanent pacing of the left ventricle. An unusual complication

Aguilar JA, Summerson C

Language: English
References: 12
Page: 56-58
PDF size: 117.82 Kb.


ABSTRACT

In this report we describe a case of a 35-year-old woman with a permanent pacemaker who was evaluated for neurological symptoms consistent with amaurosis fugax and desorientation. The ECG showed a right bundle branch block that led to the suspicion of catheter misplacement. A chest radiographs and two-dimensional echocardiogram demonstrated that the pacemaker lead was not in the venous system, it was erroneously placed through the subclavian artery, across the aortic valve, and into the left ventricular chamber. Once anticoagulation was initiated, symptoms resolved. At the moment with a 6 years follow-up the patient is without symptoms.


REFERENCES

  1. Ghani M, Thakur R, Boughner D, Morillo CA, Yee R, Klein G. Malposition of transvenous pacing lead in the left ventricle. PACE 1993; 16: 1800-1807.

  2. Splitgerber FH, Ulbricht LJ, Reitschneider HJ, Probst H, Gulker H, Minale C. Left ventricular malposition of a transvenous cardioverter defibrillator lead. PACE 1993; 16: 1066-1069.

  3. Villanueva F, Heinsimer J, Burkman MH, Fananapazir L, Halvorsen RA, Chen JT. Echocardiographic detection of perforation of the cardiac ventricular septum by a permanent pacemaker lead. Am J Cardiol 1987; 59: 370-371.

  4. Van Erkelens F, Sigmund M, Lambertz H, Kreis A, Reupcke C, Hanrath P. Asymptomatic left ventricular malposition of a transvenous pacemaker lead through a sinus venosus defect: follow-up over 17 years. PACE 1991; 14: 1448-1451.

  5. Lepore V, Pizzarelli G, Dernevik L. Inadvertent transarterial pacemaker insertion. An unusual complication. PACE 1987; 10: 951-954.

  6. Winner SJ, Boon NA. Transvenous pacemaker electrodes placed unintentionally in the left ventricle: three cases. Postgrad Med J 1989; 65: 98-102.

  7. Sharifi M, Sorkin R, Sharifi V, Lakier JB. Inadvertent malposition of a transvenous-inserted pacing lead in the left ventricular chamber. Am J Cardiol 1995; 76: 92-95.

  8. Sharifi M, Sorkin R, Lakier JB. Left heart pacing and cardioembolic stroke. PACE 1994; 17: 1691-1696.

  9. Liebold A, Aebert H, Muscholl M, Birnbaum DE. Cerebral embolism due to left ventricular pacemaker lead: removal with cardiopulmonary bypass. PACE 1994; 17: 2353-2355.

  10. Mazzetti H, Dussaut A, Tentori C, Dussaut E, Lazzari JO. Transarterial permanent pacing of the left ventricle. PACE 1990; 13: 588-592.

  11. Burkart TA, Lewis JF, Conti JB, Curtis AB. Malpositioned ventricular pacing lead in the left ventricle. Clin Cardiol 2000; 23: 123-124.

  12. Klein HO, Beker B, Sareli P, DiSegni E, Dean H, Kaplinsky E. Unusual QRS morphology associated with transvenous pacemakers. The pseudo RBBB pattern. Chest 1985; 87: 517-521.




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