title: Expressive aphasia in a patient with recent dual-chamber cardioverter-defibrillator implantation: a preventable complication.
abstract: Transvenous pacemaker and/or defibrillator lead placement into the left heart chambers is rarely done. Approximately a third of such cases reported in the literature presented with signs of thromboembolism, mostly neurological deficits. We describe a patient who presented with a cerebrovascular accident three months after inadvertent and unrecognized lead placement into the left atrium and ventricle through a sinus venosus atrial septal defect. Implant techniques to avoid this complication are discussed.
authors: Department of Medicine, Cardiology Unit, University of Rochester Medical Center, Rochester, NY 14642, USA. Sachin_Parikh@urmc.rochester.edu
authors: Sachin S
authors: SS
authors: Parikh
authors: Darren
authors: D
authors: Traub
authors: Duncan
authors: D
authors: Wormer
authors: David T
authors: DT
authors: Huang
mesh_terms: D001039:Aphasia, Broca / Q000209:etiology*; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004562:Electrocardiography; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology; D008875:Middle Aged; D011859:Radiography; D020521:Stroke / Q000209:etiology*; D017180:Tachycardia, Ventricular / Q000628:therapy*; D014463:Ultrasonography