1. Management of inadvertent left ventricular permanent pacing.
- Author
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Paravolidakis KE, Hamodraka ES, Kolettis TM, Psychari SN, and Apostolou TS
- Subjects
- Aged, Aged, 80 and over, Anticoagulants therapeutic use, Aortic Valve diagnostic imaging, Aortic Valve pathology, Disease Management, Echocardiography, Electrocardiography, Equipment Failure, Female, Heart Ventricles diagnostic imaging, Heart Ventricles pathology, Humans, Pacemaker, Artificial adverse effects, Postoperative Complications diagnosis, Postoperative Complications drug therapy, Subclavian Artery diagnostic imaging, Subclavian Artery pathology, Cardiac Pacing, Artificial, Postoperative Complications etiology
- Abstract
Inadvertent implantation of a pacemaker lead in the left ventricle is an uncommon complication. We report a case of a permanent pacemaker lead inadvertently placed through the left subclavian artery, across the aortic valve into the left ventricle. A chest X-ray one month after the procedure showed an unusual course of the lead and a 12-lead ECG and a transthoracic echocardiogram confirmed the diagnosis. The patient refused surgical removal and remained on full anticoagulation. No clinical events were recorded during a 3-year follow-up. In such cases we propose life-long full anticoagulation as an alternative to surgical lead extraction.
- Published
- 2004
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