Echocardiographic diagnosis of permanent pacemaker lead malposition in the left ventricle: A case study.

Echocardiography
Peter LukeRae Duncan

Abstract

Inadvertent endocardial lead malposition is recognized as a rare incident which is usually underreported and if recognized during implantation can be easily corrected. This phenomenon is caused by the ventricular lead unintentionally crossing a pre-existing patent foremen ovale, septal defects (atrial or ventricular) or directly from the aorta via an accidental subclavian puncture resulting in the lead implanting into the left ventricle. While this is a rare occurrence we report, the incidental finding of pacemaker lead malposition during a routine follow-up transthoracic echocardiogram and the benefits of three-dimensional transesophageal echocardiography in this patient prior to lead extraction.

References

Jun 27, 2008·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Daniel VanherckeHugues Verloove
Nov 29, 2008·Interactive Cardiovascular and Thoracic Surgery·Hiroshi SekiShuichiro Takanashi
Jun 16, 2011·Pacing and Clinical Electrophysiology : PACE·Yasser RodriguezRoger Carrillo
Dec 14, 2011·Age and Ageing·Dhanupriya SivapathasuntharamChakravarthi Rajkumar
Oct 16, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Marc-Alexander OhlowJohann Christoph Geller
Mar 8, 2017·Clinical Case Reports·Ahmed AlmomaniWaddah Maskoun
Jan 13, 2018·Cleveland Clinic Journal of Medicine·Richard G Trohman, Parikshit S Sharma
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Dec 17, 2019·Echocardiography·Afsoon FazlinezhadTasneem Z Naqvi

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