Recurrent atrial electrode displacement complicating a single lead VDD pacing system.
We describe an unusual complication of single-lead VDD pacing: recurrent advancement of the atrial bipole into the right ventricle. As a consequence, the patient experienced symptomatic pacemaker-mediated tachycardia and underwent two revision operations to achieve adequate fixation of the lead.
Walker
B D
BD
Cardiology Department, St. Vincent's Hospital, Darlinghurst, NSW, Australia.
Thorburn
C W
CW
Kuchar
D L
DL
D004562:Electrocardiography; D004567:Electrodes, Implanted; D019544:Equipment Failure Analysis; D005548:Foreign-Body Migration / Q000209:etiology / Q000503:physiopathology; D006325:Heart Atria / Q000503:physiopathology; D006327:Heart Block / Q000503:physiopathology / Q000628:therapy*; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D012008:Recurrence; D013610:Tachycardia / Q000209:etiology / Q000503:physiopathology