Key result
In an 89-year-old woman with a malpositioned pacing lead in the left ventricle and a recent subdural hematoma precluding anticoagulation, the pacemaker lead was successfully extracted without complications.
Case Report (n=1)
In patients with an incidentally found malpositioned pacemaker lead in the left ventricle who cannot tolerate anticoagulation, lead extraction can be a safe management strategy.
May support extraction when anticoagulation is contraindicated; hypothesis-generating for safety in malpositioned LV leads.
Malposition of the right ventricular lead into the left ventricle is an unusual complication of challenging management. We report a case of an elderly woman with a dual chamber permanent pacemaker implanted 2 months before admission because of high grade AV block, who presented to our institution with sub acute subdural hematoma along the left fronto-parietal area. Incidental ventricular pacemaker lead in the left ventricle was found on chest CT scan. The patient was not candidate for anticoagulation due to her recent subdural hematoma, hence a discussion about the risks of explantation of the pacemaker lead led to patient's lead extraction without any complication.
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Asma Syed (2012) conducted a case report in Malpositioned pacing lead in the left ventricle and subacute subdural hematoma (n=1). Pacemaker lead extraction was evaluated on Successful lead extraction without complication. In an 89-year-old woman with a malpositioned pacing lead in the left ventricle and a recent subdural hematoma precluding anticoagulation, the pacemaker lead was successfully extracted without complications.
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