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Inadvertent Left Ventricular Pacing through the Pericardium
Author(s) -
SCOTT PAUL A.,
BARRY JAMES,
TURNER NICHOLAS G.,
MORGAN JOHN M.
Publication year - 2009
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.1540-8159.2009.02493.x
Subject(s) - medicine , ventricle , complication , pericardium , cardiology , mediastinum , lead (geology) , ventricular pacing , venography , surgery , heart failure , thrombosis , geomorphology , geology
Inadvertent placement of a pacemaker lead in the left ventricle (LV) is a rare complication of pacing. We describe a case of inadvertent LV pacing where the ventricular lead traversed the mediastinum and accessed the heart through the posterior wall of the left atrium. Both transesophageal echo and venography were useful in understanding the course of the misplaced lead, which was removed percutaneously without complication.