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Inadvertent Transarterial Pacemaker Insertion: An Unusual Complication
Author(s) -
LEPORE VINCENZO,
PIZZARELLI GIAMPAOLO,
DERNEVIK LEIF
Publication year - 1987
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1987.tb06053.x
Subject(s) - medicine , fluoroscopy , complication , coronary sinus , ventricle , surgery , mistake , radiology , cardiology , political science , law
We describe an unusual complication of pacemaker treatment in a patient who died after a replacement operation. In a difficult situation in which a functioning pacemaker was highly desirable and in which most of the available veins had already been used, the pacemaker electrode was inserted, by mistake, through a small artery. This was not detected by fluoroscopy during surgery. The postoperative X‐ray examination seemed to indicate that the electrode tip was located in the coronary sinus, but the subsequent autopsy revealed it to be located in the left ventricle.