Key result
Inadvertent placement of a permanent pacing lead in the left ventricle resulted in cardiac tamponade, which was successfully managed with pericardiocentesis and lead repositioning.
Case Report (n=1)
Inadvertent placement of a pacing lead in the left ventricle is a rare complication that can cause cardiac tamponade, treatable with pericardiocentesis and lead repositioning.
Alerts clinicians to rare pacing lead malposition risk; leaves open optimal prevention strategies pending larger studies.
The malpositioning of a pacemaker lead is an uncommon and under-reported complication of pacemaker/Automated Implantable Cardioverter-Defibrillator (AICD) placement. It can be associated with complications such as pericardial effusions and tamponade. We describe a case of an elderly woman who developed cardiac tamponade after inadvertent placement of a permanent pacing lead in the left ventricle. Following implantation of the permanent pacemaker, the patient developed dyspnea, and hypotension. Echocardiogram showed evidence of cardiac tamponade. Patient was successfully treated with pericardiocentesis and later on repositioning of the pacemaker lead in right ventricle.
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Srikanth Seethala (2011) conducted a case report in Cardiac tamponade (n=1). Inadvertent left ventricular pacemaker lead placement was evaluated. Inadvertent placement of a permanent pacing lead in the left ventricle resulted in cardiac tamponade, which was successfully managed with pericardiocentesis and lead repositioning.
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