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Case Reports
. 2004 Jun;10(3):237-40.
doi: 10.1023/B:JICE.0000026918.50374.0d.

Management of inadvertent left ventricular permanent pacing

Kostas E Paravolidakis  1 , Eftihia S Hamodraka, Theofilos M Kolettis, Stavroula N Psychari, Thomas S Apostolou
Affiliations
Case Reports

Management of inadvertent left ventricular permanent pacing

Kostas E Paravolidakis et al. J Interv Card Electrophysiol. 2004 Jun.

Abstract

Inadvertent implantation of a pacemaker lead in the left ventricle is an uncommon complication. We report a case of a permanent pacemaker lead inadvertently placed through the left subclavian artery, across the aortic valve into the left ventricle. A chest X-ray one month after the procedure showed an unusual course of the lead and a 12-lead ECG and a transthoracic echocardiogram confirmed the diagnosis. The patient refused surgical removal and remained on full anticoagulation. No clinical events were recorded during a 3-year follow-up. In such cases we propose life-long full anticoagulation as an alternative to surgical lead extraction.

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