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A “long-standing” malpositioned pacing lead. Long-term follow-up after extraction

Berardo Sarubbi, Giancarlo Scognamiglio, Flavia Fusco, Enrico Melillo, Michele D'Alto, Maria Giovanna Russo
  • Giancarlo Scognamiglio
    Monaldi Hospital, Adult Congenital Heart Disease Unit, Italy
  • Flavia Fusco
    Monaldi Hospital, Adult Congenital Heart Disease Unit, Italy
  • Enrico Melillo
    Monaldi Hospital, Adult Congenital Heart Disease Unit, Italy
  • Michele D'Alto
    Monaldi Hospital, Adult Congenital Heart Disease Unit, Italy
  • Maria Giovanna Russo
    Monaldi Hospital, Second University of Naples, Department of Paediatric Cardiology, Italy

Abstract

Transvenous pacemaker (PM) catheters can be unintentionally placed in the left ventricle (LV) during the implantation procedure. An 8-year-old girl was discovered with a malpositioned pm wire, seven years after the implant. Trans-thoracic echocardiogram revealed the lead traversing the inter-atrial septum, crossing the mitral valve and embedded in the basal lateral wall of the LV. This is a report of a 14-year long follow-up after the surgical extraction of the malpositioned PM lead.

Keywords

Congenital AV block; pacemaker malposition; surgical extraction.

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Submitted: 2018-03-19 20:21:55
Published: 2018-09-04 16:04:33
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Copyright (c) 2018 Berardo Sarubbi, Giancarlo Scognamiglio, Flavia Fusco, Enrico Melillo, Michele D'Alto, Maria Giovanna Russo

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