title: Accidental transarterial implantation of dual chamber pacemaker leads in the left ventricle and the right coronary artery.
abstract: Implantation of permanent pacemaker systems is associated with a low rate of complications. The case of a 72-year-old woman is described who suffered from a cluster of complications related to permanent pacemaker implantation. Besides major bleeding, requiring transfusion and pneumothorax, malposition of both pacemaker leads in the arterial system occurred, with the atrial lead screwed into the right coronary artery, with subsequent occlusion of the vessel and the ventricle lead placed in the left ventricle.
authors.affiliation: Deutsches Herzzentrum München, Department of Cardiac Surgery, Munich, Germany. overbeck@dhm.mhn.de
authors.forename: Matthias
authors.initials: M
authors.lastname: Overbeck
authors.forename: Christof
authors.initials: C
authors.lastname: Kolb
authors.forename: Claus
authors.initials: C
authors.lastname: Schmitt
authors.forename: Albert
authors.initials: A
authors.lastname: Schömig
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Lange
mesh_terms: D000368:Aged; D001158:Arteries; D003331:Coronary Vessels; D004868:Equipment Failure; D005260:Female; D006352:Heart Ventricles; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*