Key result
Direct aortic puncture enables surgical extraction of a ventricular pacing lead malpositioned in the LV.
Why the study?
This report describes the unusual anatomic course, diagnosis, and surgical extraction via direct aortic puncture of a ventricular pacing lead malpositioned into the left ventricle.
Population
An 81-year-old woman hospitalized 2 weeks following transcutaneous pacemaker implantation
Design
Case report
Answers are grounded in this paper and cite their sources.
Reports surgical removal of a ventricular pacing lead misplaced into the left ventricle via the aorta, highlighting management of rare vascular anomalies during cardiac device placement.
An 81-year-old woman with progressive cough was hospitalized 2 weeks following transcutaneous pacemaker implantation. Imaging revealed an absent brachiocephalic vein and aberrant course of a ventricular lead into the aorta with implantation into the left ventricle. We describe the unusual anatomic course, diagnosis, and surgical extraction of a malpositioned pacer lead.
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Irvine et al. (2011) studied this question. Surgical extraction via direct aortic puncture was used to remove a ventricular pacing lead malpositioned into the left ventricle through the aorta.
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