Recurrent cardioembolic stroke related to late dislodgement of a right atrial pacing lead into the left atrium.
A 76-year-old woman had a permanent transvenous DDDR pacemaker implanted for complete atrioventricular block. She was hospitalized 4 years later for recurrent transient ischaemic attacks related to dislodgment of the atrial lead into the left atrium through a patent foramen ovale. The patient was successfuly treated by transvenous extraction of the atrial lead. The follow-up has been uneventful 12 months after the procedure. Left atrially dislodged pacemaker leads have to be retracted under full anticoagulation.
Division of Cardiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
M
M
Arbane
J
J
Schläpfer
N
N
Aebischer
L
L
Kappenberger
D000368:Aged; D004617:Embolism / Q000209:etiology*; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006325:Heart Atria; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D012008:Recurrence