title: Transient ischaemic attack due to the lead of an implantable defibrillator in the left heart.
abstract: A frequently underdiagnosed complication of pacemaker and implantable cardioverter defibrillator lead implantation is the unintentional advancement of the leads into the systemic circulation. We report a case encountered in our clinic in a 70-year old man evaluated in a neighbouring clinic with symptoms of transient ischaemic attack with initially unclear aetiology. Posterior-anterior chest X-rays suggested that the lead was in the left heart. This finding was confirmed by transthoracic and transoesophageal echocardiography.
authors: Department of Cardiac Surgery, University of Rostock, Medical Faculty, University Heart Center Rostock, Rostock, Germany. uju77de@yahoo.de
authors: Anthony
authors: A
authors: Alozie
authors: Bernd
authors: B
authors: Westphal
authors: Can
authors: C
authors: Yerebakan
authors: Gustav
authors: G
authors: Steinhoff
mesh_terms: D000368:Aged; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology*; D008297:Male; D011475:Prosthesis Failure; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000628:therapy*