Key result
A 76-year-old woman experienced cardiac tamponade due to pacemaker lead malpositioning in the left atrial roof, which was deceptively masked by normal pacing thresholds and required surgical revision.
Case Report (n=1)
Highlights a rare case of pacemaker lead malpositioning in the left atrial roof masked by normal pacing thresholds, successfully treated with surgical revision.
Alerts clinicians to suspect lead malposition in post-implant tamponade despite normal thresholds; leaves open optimal detection strategies.
Pacemaker lead malpositioning with subsequent cardiac tamponade is a rare, but serious adverse event. We herein report a case of pacemaker lead malpositioning in a 76-year old female caucasian patient. The lead was malpositioned into the roof of the left atrium after perforation of the superior vena cava, resulting in cardiac tamponade. After fast surgical revision and an uneventful post-operative period, the patient was discharged in excellent condition.
No takes yet. Share an insight, caveat, or question.
Rath et al. (2014) conducted a case report in Pacemaker lead malpositioning and cardiac tamponade (n=1). Pacemaker implantation and surgical revision was evaluated. A 76-year-old woman experienced cardiac tamponade due to pacemaker lead malpositioning in the left atrial roof, which was deceptively masked by normal pacing thresholds and required surgical revision.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: