Anomalous left ventricle implantation of pacemaker catheter: a clinical case
Keywords:
pacemaker, malposition of pacing lead, heart failure, tromboembolic complicationsAbstract
The authors present a case of a 79-year-old woman admitted at
the Department of Medicine with heart failure.
The clinical, laboratorial and radiological evaluation, lead to the
fi nding of left ventricular malposition of the pacemaker catheter,
via foramen ovale.
Facing such clinical presentation and considering possible
tromboembolic complications, it was decided to proceed to
percutaneous extraction of the pacemaker catheter. Clinical
improvement was found to take place after the procedure.
Comments on the diagnosis, complications and treatment approaches are mentioned, after review of the literature
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References
Mansura Ghani, Ranjan K Thakur, Derek Boughner, Carlos A. Morillo, Raymond Yee, George J Klein. Malposition of Transvenous Pacing Lead in the Left Ventricule. PACE 2003:16.
Berry M Van Gelder, Frank A Bracke, Ali Oto, Aylin Yildirir, P Clay Haas, John J Seger, Raymond F Stainback, Kees-Jost Botman, Albert Meijer. Diagnosis and Management of Inadvertently Placed Pacing and ICD Leads in the Left Ventricule. PACE 2000:23.
Van Erckelens F, Sigmund M, Lambertz H et al. Asymptomatic Left Ventricular Malposition of a Transvenous Pacemaker Lead Through a Sinus Venosus Defect: Follow-up Over 17 Years. PACE 1991; 14:989-993.
Liebold A, Aebert H, Muscholl M et al. Cerebral embolism due to left ventricular pacemaker lead: Removal with cardiopulmonary bypass. PACE 1994; 17:2353-2355.
Bohm Á, Bányai F, Komáromy K, Pintér A, Préda I. Cerebral Embolism due to a Retained Pacemaker Lead. PACE 1998; 21:629-630.
Sharifi M, Sorkin R, Lakier J B. Left Heart Pacing and Cardioembolic Stroke. PACE 1994; 17: 1691-1696.
Sharifi M, Sorkin R, Sharifi V, Lakier J B. The American Journal of Cardiology 1995; 76: 92-95.
Kusniec J et al. Left Ventricular malposition of a Transvenous Cardioverter Defibrillator Lead. A 3-year follow-up. PACE 1998; 21: 1313-1315.
Arbane M, Schlapfer J, Aebischer N, Kappenberger L. Recorrent Cardioembolic Stroke Related to Late Dislodgment of a Right Atrial Pacing Lead into the Left Atrium. Europace 1999; 1: 202-205.
Judson L, Moore B, Swank M, Ashworth H E. Two-Dimensional Echocardiograms os a Transvenous Left Ventricular Pacing Catheter. CHEST 1981; 80: 228-230.
De Cock CC, Van Campen C M C, Kamp O, Visser C A. Successful Percutaneous Extraction of an Inadvertently Placed Left Ventricular Pacing Lead. Europace 2002; 5: 195-197.
Orlov M V et al. Transesofhageal Echocardiografic Visualization of Left Ventricular Malpositioned Pacemaker Electrodes. Implications for lead extraction procedures. PACE 1999; 22:1407-1409
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