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Intensive Care Medicine
Published in: Intensive Care Medicine 8/2013

01-08-2013 | Imaging in Intensive Care Medicine

Where is the lead?

Authors: Jorge Vidal Hernández Rodríguez, Adrián Rodríguez García, David Rodríguez Palomo

Published in: Intensive Care Medicine | Issue 8/2013

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Excerpt

A 65-year-old woman who had received a pacemaker (DDD-R mode) in November 2012 was admitted to our Coronary Unit in December 2012 following an acute myocardial infarction. Routine screening with echocardiogram revealed that the ventricular lead was in the left ventricle (LV) passing through the patent foramen ovale and mitral valve (Figs. 1–3). We performed early percutaneous removal of the device and implanted a new pacemaker in the right ventricle apex. …
Literature
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Ananthasubramaniam K, Alam M, Karthikeyan V (2001) Abnormal implantation of permanent pacemaker lead in the left ventricle via a patent foramen ovale: clinical and echocardiographic recognition of a rare complication. J Am Soc Echocardiogr 14(3):231–233PubMedCrossRef
2.
3.
Arnar DO, Kerber RE (2001) Cerebral embolism resulting from a transvenous pacemaker catheter inadvertently placed in the left ventricle: a report of two cases confirmed by echocardiography. Echocardiography 18(8):681–684PubMedCrossRef
4.
Michaels AD, Burlew BS (2009) Pacemaker lead thrombus causing cryptogenic stroke in a patient referred for percutaneous patent foramen ovale closure. J Invasive Cardiol 21(11):E224–E225PubMed
5.
Schroeter T, Borger MA, Mohr FW (2012) Patent foramen ovale. Correct route for implantation of a biventricular permanent pacemaker? Herzschrittmacherther Elektrophysiol 23(2):141–143. doi:10.​1007/​s00399-012-0177-y PubMed
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Metadata
Title
Where is the lead?
Authors
Jorge Vidal Hernández Rodríguez
Adrián Rodríguez García
David Rodríguez Palomo
Publication date
01-08-2013
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 8/2013
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-013-2940-x

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