Transarterial pacemaker lead implantation results in acute myocardial infarction.
We report a case of inadvertent transarterial implantation of dual-chamber pacemaker leads; the ventricular lead positioned across the aortic valve into the left ventricle and the atrial lead curving in the aortic root with the tip positioned into the left circumflex artery, resulting in acute myocardial infarction. The diagnosis was made based on the finding on the chest X-ray, surface ECG, and coronary angiography.
Issa
Ziad F
ZF
Prairie Cardiovascular Consultants, Southern Illinois University, 401 East Carpenter Street, Springfield, IL 62702, USA. zissa@prairieheart.com
Gill
John B
JB
D000369:Aged, 80 and over; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000503:physiopathology; D002637:Chest Pain / Q000000981:diagnostic imaging / Q000209:etiology; D017023:Coronary Angiography; D004562:Electrocardiography; D004567:Electrodes, Implanted / Q000009:adverse effects*; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000009:adverse effects*; D016896:Treatment Outcome