RESUMO
Pacemaker lead malpositioning with subsequent cardiac tamponade is a rare, but serious adverse event. We herein report a case of pacemaker lead malpositioning in a 76-year old female caucasian patient. The lead was malpositioned into the roof of the left atrium after perforation of the superior vena cava, resulting in cardiac tamponade. After fast surgical revision and an uneventful post-operative period, the patient was discharged in excellent condition.
Assuntos
Tamponamento Cardíaco/etiologia , Tamponamento Cardíaco/cirurgia , Átrios do Coração/lesões , Átrios do Coração/cirurgia , Marca-Passo Artificial/efeitos adversos , Idoso , Procedimentos Cirúrgicos Cardíacos , Feminino , Humanos , Radiografia TorácicaRESUMO
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.
