Rath C, Andreas M, Khazen C, Wiedemann D, Habertheuer A, Kocher A. Pacemaker lead malpositioning led to subsequent ischemic strokes despite antiplatelet and anticoagulation therapy.
J Cardiothorac Surg 2014;
9:54. [PMID:
24650169 PMCID:
PMC3994493 DOI:
10.1186/1749-8090-9-54]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2013] [Accepted: 03/11/2014] [Indexed: 11/29/2022] Open
Abstract
Pacemaker lead malpositioning may lead to severe clinical adverse events. Rarely, cases of inadvertent placement of a lead into the left ventricle are reported in the literature. We herein report a case of pacemaker lead malpositioning into the left ventricle via a persistent foramen ovale in a male caucasian patient. After this procedural adverse event, the patient suffered from two ischemic strokes despite antiplatelet and anticoagulation therapy.
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