title: Inadvertent implantable cardioverter defibrillator lead placement in the left ventricle: long-term follow-up at nine years and management by minimally-invasive surgery.
abstract: We describe the case history of a 43-year-old male with type 1 Brugada syndrome. He was fitted with an implantable cardioverter defibrillator (ICD) for primary prevention nine years ago. After admission for inappropriate shocks, an abnormal position of the lead was discovered. Further investigations (chest X-ray and transesophageal echocardiography) showed that the ICD lead was in fact in the left ventricle. The ICD lead was removed successfully using video-assisted thoracoscopic surgery.
authors.affiliation: Arrhythmia Unit, Department of Cardiology, University Hospital, BP 217X, 38043 Grenoble Cedex 09, France. pdefaye@chu-grenoble.fr
authors.forename: Pascal
authors.initials: P
authors.lastname: Defaye
authors.forename: Adama
authors.initials: A
authors.lastname: Kane
authors.forename: Peggy
authors.initials: P
authors.lastname: Jacon
authors.forename: Jeanfrançois
authors.initials: J
authors.lastname: Obadia
mesh_terms: D000328:Adult; D053840:Brugada Syndrome / Q000628:therapy*; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D004554:Electric Countershock / Q000009:adverse effects* / Q000295:instrumentation; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D020775:Thoracic Surgery, Video-Assisted; D013997:Time Factors; D016896:Treatment Outcome