An unintentional left ventricular stimulation.
A 31-year-old man had undergone pacemaker implantation for complete atrio-ventricular block six years before. Permanent ventricular stimulation was seen on the ECG. The QRS complex was negative in leads I, VL and V2 to V5. The ventricular lead tip was found to be screwed into a branch of the great cardiac vein. Unintentional coronary sinus fixed-screw lead implantation has not to our knowledge been reported before.
Massoure
P L
PL
Service de Médecine, Hôpital Bouffard, Armées, Djibouti. plmassoure@aol.com
Caumes
J L
JL
D000328:Adult; D001282:Atrial Flutter / Q000175:diagnosis / Q000209:etiology*; D054537:Atrioventricular Block / Q000628:therapy*; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal; D004562:Electrocardiography; D006352:Heart Ventricles / Q000294:innervation* / Q000473:pathology; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male