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Transient ischaemic attack due to the lead of an implantable defibrillator in the left heart
Author(s) -
Anthony Alozie,
Bernd Westphal,
Can Yerebakan,
Gustav Steinhoff
Publication year - 2011
Publication title -
interactive cardiovascular and thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 56
eISSN - 1569-9293
pISSN - 1569-9285
DOI - 10.1093/icvts/ivr033
Subject(s) - medicine , cardiology , transient (computer programming) , lead (geology) , implantable cardioverter defibrillator , geomorphology , geology , computer science , operating system
A frequently underdiagnosed complication of pacemaker and implantable cardioverter defibrillator lead implantation is the unintentional advancement of the leads into the systemic circulation. We report a case encountered in our clinic in a 70-year old man evaluated in a neighbouring clinic with symptoms of transient ischaemic attack with initially unclear aetiology. Posterior-anterior chest X-rays suggested that the lead was in the left heart. This finding was confirmed by transthoracic and transoesophageal echocardiography.

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