Interv Akut Kardiol. 2014;13(3):152-154

Inadvertent transaortic permanent pacing

Ondřej Moravec, Jan Galuszka, Martin Hutyra, Miloš Táborský

I. interní klinika &ndash, kardiologická, FN a LF UP v Olomouci

Implantation of pacemaker leads into the left heart chambers is a rare, but serious complication of permanent cardiac pacing and should be diagnosed

already during the procedure itself. The case report describes a patient who presented to our centre with myocardial infarction. An incidental

finding was that the pacing system of a dual-chamber pacemaker implanted in a catchment hospital twelve years previously had been inserted

transarterially with the ventricular pacing lead placed in the left ventricle and the atrial pacing lead displaced in the brachiocephalic trunk. Due to

lucky circumstances, this patient has not experienced any serious complications from this unconventional pacing modality for more than ten years.

Keywords: malpositioned pacing lead in the left ventricle, complications of cardiac pacing, cerebrovascular accident

Published: October 1, 2014  Show citation