This case report demonstrates the feasibility and long-term safety of surgically extracting a chronically malpositioned left ventricular pacemaker lead in a pediatric patient.
Supports individualized extraction decisions in rare pediatric cases; leaves open need for larger studies on lead malposition management.
Transvenous pacemaker (PM) catheters can be unintentionally placed in the left ventricle (LV) during the implantation procedure. An 8-year-old girl was discovered with a malpositioned pm wire, seven years after the implant. Trans-thoracic echocardiogram revealed the lead traversing the inter-atrial septum, crossing the mitral valve and embedded in the basal lateral wall of the LV. This is a report of a 14-year long follow-up after the surgical extraction of the malpositioned PM lead.
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Sarubbi et al. (2018) studied this question.
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