loading page

Echocardiographic diagnosis of permanent pacemaker lead malposition in the left ventricle -- A case study.
  • +1
  • Peter Luke,
  • Ewen Shepherd,
  • Tim Irvine,
  • Rae Duncan
Peter Luke
Newcastle University Faculty of Medical Sciences
Author Profile
Ewen Shepherd
Newcastle Upon Tyne Hospitals NHS Foundation Trust
Author Profile
Tim Irvine
Newcastle Upon Tyne Hospitals NHS Foundation Trust
Author Profile
Rae Duncan
Newcastle Upon Tyne Hospitals NHS Foundation Trust
Author Profile

Abstract

Inadvertent endocardial lead malposition is recognised as a rare incident which is usually underreported and if recognised during implantation can be easily corrected. This phenomenon is caused by the ventricular lead unintentionally crossing a pre-existing patent foremen ovale, septal defects (atrial or ventricular) or directly from the aorta via an accidental subclavian puncture resulting in the lead implanting into the left ventricle. While this is a rare occurrence we report the incidental finding of pacemaker lead malposition during a routine follow-up transthoracic echocardiogram and the benefits of three dimensional transoesophageal echocardiography in this patient prior to lead extraction.

Peer review status:ACCEPTED

04 Oct 2020Submitted to Echocardiography
05 Oct 2020Submission Checks Completed
05 Oct 2020Assigned to Editor
07 Oct 2020Review(s) Completed, Editorial Evaluation Pending
07 Oct 2020Editorial Decision: Revise Major
08 Oct 20201st Revision Received
08 Oct 2020Submission Checks Completed
08 Oct 2020Assigned to Editor
12 Oct 2020Reviewer(s) Assigned
08 Nov 2020Review(s) Completed, Editorial Evaluation Pending
08 Nov 2020Editorial Decision: Accept