Zusammenfassung
Wir berichten über den Fall einer unbeabsichtigten Fehlpositionierung einer Schrittmacher-Elektrode im linken Ventrikel. Die Elektrode gelangte über ein offenes Foramen ovale aus dem rechten in das linke Atrium und durch die Mitralklappe in den linken Ventrikel. Nach Sichtung der Literatur zu dieser Komplikation der Schrittmacher-Implantation entschieden wir uns dazu, die Elektrode im linken Ventrikel zu belassen. Unter oraler Antikoagulation war der weitere Verlauf (insgesamt 16 Monate) komplikationsfrei.
Summary
We report the case of inadvertent malpositioning of a pacemaker lead in the left ventricle. The lead went through an open foramen ovale from the right to the left atrium and through the mitral valve into the left ventricle. After a review of the literature, we decided to anticoagulate the patient and leave the electrode in place. During a follow-up period of 16 months, there were no clinical complications.
Article PDF
References
Nägele H, Azizi M, Hashagen S, Behrens S (2006) Long term follow-up of a malpositioned ventricular pacing lead via the aortic valve; case report. Clin Res Cardiol 95:488–491
Chun Julian KR, Bode F, Wiegand UKH (2004) Left ventricular malposition of pacemaker lead in Chagas disease. PACE 27:1682–1685
Van Gelder BM, Bracke FA, Oto A, Yildirir A, Haas PC, Seger JJ, Stainback RF, Botman KJ, Meijer A (2000) Diagnosis and management of inadvertently placed pacing and ICD-leads in the left ventricle. PACE 23:877–883
Sharifi M, Sorkin R, Sharifi V, Lakier JB (1995) Inadvertent malposition of a transvenous inserted pacing lead in the left ventricular chamber. Am J Cardiol 76:92–95
Ghani M, Thakur RK, Boughner D, Morillo CA, Yee R, Klein GJ (1993): Malposition of transvenous pacing lead in the left ventricle. PACE 16:1800–1807
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Engström, A., Holmberg, B., Månsson, A. et al. Inadvertent malposition of a transvenous pacing lead in the left ventricle. Herzschr. Elektrophys. 17, 221–224 (2006). https://doi.org/10.1007/s00399-006-0537-6
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s00399-006-0537-6