Key result
Conservative management of an inadvertent LV pacemaker lead shows no thromboembolic events at six years.
Why the study?
There was a need to emphasize the conditions and precautions necessary for proper pacemaker implantation.
Case Report (n=1)
This case highlights the possibility of inadvertent left ventricular pacemaker lead placement via the foramen ovale and suggests conservative management may be reasonable in asymptomatic patients without thromboembolic events.
Observation may be reasonable in select asymptomatic patients; leaves open optimal long-term management strategies.
This report describes a patient with a 6-year-old pacemaker lead in the left ventricle. Both transthoracic and transesophageal echocardiography unequivocally showed that the lead enters the left ventricle via the foramen ovale and the mitral valve. The patient did not suffer from a thromboembolic event; therefore, we did not proceed with extraction. The importance of this case report is to emphasize the conditions and precautions of proper pacemaker implantation.
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Altun et al. (2002) conducted a case report in Pacemaker lead in the left ventricle (n=1). Pacemaker lead insertion through the foramen ovale was evaluated on Thromboembolic event. A patient with a 6-year-old pacemaker lead inadvertently placed in the left ventricle via the foramen ovale did not experience any thromboembolic events.
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