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Management of Inadvertent Left Ventricular Permanent Pacing

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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 fulll 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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Authors and Affiliations

  1. 2nd Department of Cardiology, Nikea General Hospital, 3 Madouvalou Street, Nikea, 18454, Athens, Greece

    Kostas E. Paravolidakis, Eftihia S. Hamodraka, Stavroula N. Psychari & Thomas S. Apostolou

  2. University of Ioannina, 1 University Street, 45 110, Ioannina, Greece

    Theofilos M. Kolettis

Authors
  1. Kostas E. Paravolidakis
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  2. Eftihia S. Hamodraka
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  3. Theofilos M. Kolettis
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  4. Stavroula N. Psychari
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  5. Thomas S. Apostolou
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Paravolidakis, K.E., Hamodraka, E.S., Kolettis, T.M. et al. Management of Inadvertent Left Ventricular Permanent Pacing. J Interv Card Electrophysiol 10, 237–240 (2004). https://doi.org/10.1023/B:JICE.0000026918.50374.0d

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  • DOI: https://doi.org/10.1023/B:JICE.0000026918.50374.0d

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