Incidental Finding of Malpositioned Pacing Lead in the Left Ventricle in a Patient With Subacute Subdural Hematoma

Asma Syed, Sohail Salim, Ricardo Castillo

Abstract


Malposition of the right ventricular lead into the left ventricle is an unusual complication of challenging management. We report a case of an elderly woman with a dual chamber permanent pacemaker implanted 2 months before admission because of high grade AV block, who presented to our institution with sub acute subdural hematoma along the left fronto-parietal area. Incidental ventricular pacemaker lead in the left ventricle was found on chest CT scan. The patient was not candidate for anticoagulation due to her recent subdural hematoma, hence a discussion about the risks of explantation of the pacemaker lead led to patient’s lead extraction without any complication.




Cardiol Res. 2012;3(4):187-188
doi: https://doi.org/10.4021/cr192w

Keywords


Pacemaker; Anticoagulation; Ventricular lead

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