Inadvertent Lead Placement In The Left Ventricle: A Case Report And Brief Review

Abstract

Inadvertent lead placement in the left ventricle (LV) is an uncommon and often under-diagnosed complication of cardiac device implantation. Thromboembolic (TE) events are common and usually secondary to fibrosis or thrombus formation on or around the lead. Anticoagulation can prevent TE events. Percutaneous and surgical LV lead extractions have been performed successfully, but the risks of percutaneous lead removal are not well-defined. In this report, we describe a case of inadvertent LV lead placement and briefly review the contemporary literature.

Keywords

• left ventricular pacing
• complication of pacemaker or defibrillator implantation
• lead extraction
• left ventricular lead