Open AccessRepeated fracture of pacemaker leads with migration into the pulmonary circulation and temporary pacemaker wire insertion via the azygous vein
Author(s) -
Ameya R. Udyavar,
Ulhas M. Pandurangi,
K Latchumanadhas,
Ajit Mullasari
Publication year - 2008
Publication title -
journal of postgraduate medicine/journal of postgraduate medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.405
H-Index - 52
eISSN - 0972-2823
pISSN - 0022-3859
DOI - 10.4103/0022-3859.39187
Subject(s) - medicine , lead (geology) , cardiology , vein , pulmonary vein , circulation (fluid dynamics) , surgery , permanent pacemaker , right atrium , atrial fibrillation , physics , geomorphology , thermodynamics , geology
Repeated implantation of pacemaker in the same patient is a common occurrence because of the increased longevity of patients. However, repeated lead fracture in the same patient and migration of the pacemaker lead into the pulmonary circulation is rare. We describe a 56-year-old gentleman who had undergone pacemaker implantations thrice due to repeated lead fractures (thrice) and also had migration of the pacemaker lead into the pulmonary circulation. He also had an azygous vein which was noticed while placing the temporary pacemaker wire.