title: Treatment of a malpositioned transcutaneous ventricular pacing lead in the left ventricle via direct aortic puncture.
abstract: An 81-year-old woman with progressive cough was hospitalized 2 weeks following transcutaneous pacemaker implantation. Imaging revealed an absent brachiocephalic vein and aberrant course of a ventricular lead into the aorta with implantation into the left ventricle. We describe the unusual anatomic course, diagnosis, and surgical extraction of a malpositioned pacer lead.
authors.affiliation: Division of Thoracic & Cardiovascular Surgery, Department of Surgery, PO Box 800679, University of Virginia, Charlottesville, VA 22908, USA.
authors.forename: James N
authors.initials: JN
authors.lastname: Irvine
authors.forename: Damien J
authors.initials: DJ
authors.lastname: LaPar
authors.forename: Srijoy
authors.initials: S
authors.lastname: Mahapatra
authors.forename: John P
authors.initials: JP
authors.lastname: DiMarco
authors.forename: Gorav
authors.initials: G
authors.lastname: Ailawadi
mesh_terms: D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D020878:Device Removal; D004567:Electrodes, Implanted / Q000009:adverse effects*; D005260:Female; D006327:Heart Block / Q000628:therapy*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011859:Radiography; D013927:Thrombosis / Q000209:etiology*; D014656:Vascular Surgical Procedures