Saved by anticoagulants: Incidental discovery of a misplaced defibrillator lead 6 years after implantation. Inadvertent lead placement inside the left ventricular cavity

Case Image: Unexpected cause of lead fracture: A stylet left inside the right ventricular pacemaker lead.

A 55-year-old female patient with earlier diagnosis of cardiac cirrhosis and mitral valve implantation was admitted with complaints of weakness and dizziness. She had undergone VVIR pacemaker implantation 9 years earlier due to low ventricular rate atrial fibrillation and had generator replacement procedure 3 months previously. Electrocardiogram indicated pacemaker dysfunction due to failure to...

Left anterior hemiblock or inadvertent lead misplacement?

Implantation of the right ventricular lead of an implantable cardioverter-defibrillator complicated by apical myocardial infarction.

A 68-year-old man who experienced ventricular fibrillation triggered by a vasospastic angina (VSA) was resuscitated by a lay-rescuer with an automated external defibrillator. He had been diagnosed with VSA on the basis of chest pain while at rest in the early morning, which had been treated successfully with nitrates and calcium channel blockers for 13 years. During hospitalization after the pa...

Inadvertent Lead Placement In The Left Ventricle: A Case Report And Brief Review

Inadvertent lead placement in the left ventricle (LV) is an uncommon and often under-diagnosed complication of cardiac device implantation. Thromboembolic (TE) events are common and usually secondary to fibrosis or thrombus formation on or around the lead. Anticoagulation can prevent TE events. Percutaneous and surgical LV lead extractions have been performed successfully, but the risks of perc...

Robotically assisted left ventricular epicardial lead implantation for biventricular pacing.

OBJECTIVES Ventricular resynchronization might be achieved in a minimally invasive fashion using a robotically assisted, direct left ventricular (LV) epicardial approach. BACKGROUND Approximately 10% of patients undergoing biventricular pacemaker insertion have a failure of coronary sinus (CS) cannulation. Rescue therapy for these patients currently is limited to standard open surgical techni...