Recurrent strokes caused by a malpositioned pacemaker lead

This case report illustrates the case of a patient who developed recurrent strokes after a pace maker lead was inserted into his left ventricle. It was removed successfully by the cardiothoracic surgeons but he remained very dependent functionally. This case highlights the importance of always revie...

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Bibliographic Details
Published in:Age and ageing 2012-05, Vol.41 (3), p.420-421
Main Authors: Sivapathasuntharam, Dhanupriya, Hyde, Jonathan A J, Reay, Victoria, Rajkumar, Chakravarthi
Format: Article
Language:English
Subjects:
Aged
Aorta, Thoracic - diagnostic imaging
Aorta, Thoracic - injuries
Aorta, Thoracic - surgery
Arrhythmias, Cardiac - therapy
Cardiac Pacing, Artificial
Care and treatment
Case studies
Device Removal
Diagnosis
Electrocardiogram
Electrocardiography
Equipment Design
Equipment Failure
Foreign-Body Migration - diagnostic imaging
Foreign-Body Migration - etiology
Foreign-Body Migration - surgery
Heart
Humans
Male
Monitoring systems
Morbidity
Pacemaker, Artificial - adverse effects
Pacemakers
Predictive Value of Tests
Radiography
Recurrence
Recurrent
Stroke
Stroke (Disease)
Stroke - diagnosis
Stroke - etiology
Strokes
Subclavian Vein - diagnostic imaging
Subclavian Vein - injuries
Subclavian Vein - surgery
Surgeons
Tempo
Vascular System Injuries - diagnostic imaging
Vascular System Injuries - etiology
Vascular System Injuries - surgery
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Description
Summary:This case report illustrates the case of a patient who developed recurrent strokes after a pace maker lead was inserted into his left ventricle. It was removed successfully by the cardiothoracic surgeons but he remained very dependent functionally. This case highlights the importance of always reviewing the electrocardiogram and chest radiograph after the insertion of a pacemaker as late diagnosis of this complication can leave the patient with significant morbidity.
ISSN:0002-0729
1468-2834
DOI:10.1093/ageing/afr152