Treatment of a malpositioned transcutaneous ventricular pacing lead in the left ventricle via direct aortic puncture

James N Irvine; Damien J LaPar; Srijoy Mahapatra; John P DiMarco; Gorav Ailawadi

doi:10.1093/europace/eur048

Treatment of a malpositioned transcutaneous ventricular pacing lead in the left ventricle via direct aortic puncture

Europace. 2011 Aug;13(8):1207-8. doi: 10.1093/europace/eur048. Epub 2011 Mar 18.

Authors

James N Irvine¹, Damien J LaPar, Srijoy Mahapatra, John P DiMarco, Gorav Ailawadi

Affiliation

¹ Division of Thoracic & Cardiovascular Surgery, Department of Surgery, PO Box 800679, University of Virginia, Charlottesville, VA 22908, USA.

Abstract

An 81-year-old woman with progressive cough was hospitalized 2 weeks following transcutaneous pacemaker implantation. Imaging revealed an absent brachiocephalic vein and aberrant course of a ventricular lead into the aorta with implantation into the left ventricle. We describe the unusual anatomic course, diagnosis, and surgical extraction of a malpositioned pacer lead.

Publication types

Case Reports
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Aged, 80 and over
Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / injuries*
Aorta, Thoracic / surgery
Device Removal*
Electrodes, Implanted / adverse effects*
Female
Heart Block / therapy*
Heart Ventricles / diagnostic imaging
Humans
Pacemaker, Artificial / adverse effects*
Radiography
Thrombosis / etiology*
Vascular Surgical Procedures

Abstract

Publication types

MeSH terms

Grants and funding