You are here

Article Text

Article menu
Download PDFPDF
Case report
Inadvertent left ventricular pacing due to lead malpositioning, incidentally discovered seventeen years later
  1. Shahid Bobat1,2 and
  2. Wei Jun How2
  1. 1Department of Biology, Medicine and Health, The University of Manchester, Manchester, UK
  2. 2Cardiology Department, Bolton NHS Foundation Trust, Bolton, UK
  1. Correspondence to Dr Shahid Bobat; shahidbobat{at}doctors.org.uk

Abstract

Inadvertent lead malpositioning into the left ventricle (LV) is an uncommon complication of pacemaker lead implantation. It can have implications on clinical outcome due to ventricular dyssynchrony, and result in further complications such as thrombus formation with subsequent embolisation. This case study reports the clinical, electrocardiographic, plain film and echocardiographic findings of an 82-year-old male in whom the intravenous lead of a dual chamber pacemaker was unintentionally passed into the LV via an atrial septal defect. Inadvertent placement was discovered incidentally following the onset of atrial fibrillation (AF) 17 years later.

  • arrhythmias
  • cardiovascular medicine
  • pacing and electrophysiology
  • heart failure

https://doi.org/10.1136/bcr-2021-246272

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Twitter @bobat_shahid

    • Contributors SB was the primary author of this case report, significantly contributing to the writing and data collection involved. WJH contributed to the revision of the draft, and supported with the captions for the echocardiography views. Both authors contributed to revisions of the paper. SB is first author, and WJH is second author.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.