Inadvertent Malposition of a Permanent Ventricular Lead into the Middle Cardiac Vein Was Misdiagnosed As Lead Perforation
Annals of Noninvasive Electrocardiology(2022)
摘要
A 54‐year‐old man had a dual‐chamber pacemaker implantation 9 years ago because of sick sinus syndrome at a different facility. The patient did not undergo any evaluation of his pacemaker for a long time with cardiologist. The patient was admitted to another hospital manifesting dyspnea and palpitation with atrial fibrillation for 1 month, and he was diagnosed with ventricular lead perforation. For further treatment, he was referred to our hospital, and an elective replacement indicator (ERI) of the battery state and a malpositioned ventricular lead into the middle cardiac vein were found. Finally, the pacing lead was left in the primary place and the pacemaker was replaced.
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关键词
malposition,middle cardiac vein,pacemaker,pacing lead
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