Malposition of pacing lead into the left ventricle: a rare complication of pacemaker insertion

Learning points Inadvertent insertion of pacing lead into to the left ventricle is rare and due to patent foramen ovale, atrial and ventricular septal defects, perforation of interatrial or interventricular septum, cannulation of subclavian artery or branch of the coronary sinus. 1 A malpositioned p...

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Bibliographic Details
Published in:BMJ case reports 2014-07, Vol.2014, p.bcr2013202131
Main Authors: Bashir, Ahmed, Noroozian, Neda, Bradlow, William, Marshall, Howard
Format: Article
Language:English
Subjects:
Aged
Bundle-Branch Block - therapy
Cardiac arrhythmia
Catheters
Diagnosis, Differential
Echocardiography, Transesophageal
Electrocardiography
Electrodes, Implanted - adverse effects
Female
Foreign-Body Migration - diagnosis
Foreign-Body Migration - etiology
Health risk assessment
Heart Ventricles - diagnostic imaging
Humans
Images In
Imaging, Three-Dimensional
Pacemaker, Artificial - adverse effects
Thromboembolism
Tomography, X-Ray Computed
United Kingdom
White
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Summary:Learning points Inadvertent insertion of pacing lead into to the left ventricle is rare and due to patent foramen ovale, atrial and ventricular septal defects, perforation of interatrial or interventricular septum, cannulation of subclavian artery or branch of the coronary sinus. 1 A malpositioned pacing lead can cause several complications including systemic thromboembolic events, distortion or perforation of the mitral valve causing mitral regurgitation, damage to the left ventricular wall or left-sided valvular endocarditis. 2 Postpacing assessment of posteroanterior and lateral chest X-rays is essential to identify this complication.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2013-202131