Monaldi Archives for Chest Disease (Sep 2018)

A “long-standing” malpositioned pacing lead. Long-term follow-up after extraction

  • Berardo Sarubbi,
  • Giancarlo Scognamiglio,
  • Flavia Fusco,
  • Enrico Melillo,
  • Michele D'Alto,
  • Maria Giovanna Russo

DOI
https://doi.org/10.4081/monaldi.2018.927
Journal volume & issue
Vol. 88, no. 3

Abstract

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Transvenous pacemaker (PM) catheters can be unintentionally placed in the left ventricle (LV) during the implantation procedure. An 8-year-old girl was discovered with a malpositioned pm wire, seven years after the implant. Trans-thoracic echocardiogram revealed the lead traversing the inter-atrial septum, crossing the mitral valve and embedded in the basal lateral wall of the LV. This is a report of a 14-year long follow-up after the surgical extraction of the malpositioned PM lead.

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