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Management of Inadvertent Left Ventricular Permanent Pacing

  • Kostas E. Paravolidakis
  • Eftihia S. Hamodraka
  • Theofilos M. Kolettis
  • Stavroula N. Psychari
  • Thomas S. Apostolou
Article

Abstract

Inadvertent implantation of a pacemaker lead in the left ventricle is an uncommon complication. We report a case of a permanent pacemaker lead inadvertently placed through the left subclavian artery, across the aortic valve into the left ventricle. A chest X-ray one month after the procedure showed an unusual course of the lead and a 12-lead ECG and a transthoracic echocardiogram confirmed the diagnosis. The patient refused surgical removal and remained on fulll anticoagulation. No clinical events were recorded during a 3-year follow-up. In such cases we propose life-long full anticoagulation as an alternative to surgical lead extraction.

left ventricular pacing subclavian artery anticoagulation 

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Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • Kostas E. Paravolidakis
    • 1
  • Eftihia S. Hamodraka
    • 1
  • Theofilos M. Kolettis
    • 2
  • Stavroula N. Psychari
    • 1
  • Thomas S. Apostolou
    • 1
  1. 1.2nd Department of CardiologyNikea General HospitalAthensGreece
  2. 2.University of IoanninaIoanninaGreece

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