title: Recurrent strokes caused by a malpositioned pacemaker lead.
abstract: This case report illustrates the case of a patient who developed recurrent strokes after a pace maker lead was inserted into his left ventricle. It was removed successfully by the cardiothoracic surgeons but he remained very dependent functionally. This case highlights the importance of always reviewing the electrocardiogram and chest radiograph after the insertion of a pacemaker as late diagnosis of this complication can leave the patient with significant morbidity.
authors.affiliation: Brighton and Sussex University Hospitals NHS Trust, Brighton, UK. d.sivapathasuntharam@nhs.net
authors.forename: Dhanupriya
authors.initials: D
authors.lastname: Sivapathasuntharam
authors.forename: Jonathan A J
authors.initials: JA
authors.lastname: Hyde
authors.forename: Victoria
authors.initials: V
authors.lastname: Reay
authors.forename: Chakravarthi
authors.initials: C
authors.lastname: Rajkumar
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001145:Arrhythmias, Cardiac / Q000628:therapy*; D002304:Cardiac Pacing, Artificial; D020878:Device Removal; D004562:Electrocardiography; D004867:Equipment Design; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011237:Predictive Value of Tests; D011859:Radiography; D012008:Recurrence; D020521:Stroke / Q000175:diagnosis / Q000209:etiology*; D013350:Subclavian Vein / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery