JACC: Case Reports (Dec 2019)
Dual Chamber Pacemaker Implantation Complicated by Left Anterior Descending Coronary Artery Injury
Abstract
A 53-year-old female underwent dual-chamber pacemaker implantation for tachy-brady syndrome, which was complicated by anterior ST-segment elevation myocardial infarction and ventricular fibrillation due to right ventricular lead impingement on the left anterior descending coronary artery. Coronary artery injury is a rare complication of cardiac device implantation which requires a multidisciplinary team for management. (Level of Difficulty: Beginner.)