title: Laser extraction of pacemaker lead traversing a patent foramen ovale and the mitral valve.
abstract: Left ventricular lead misplacement is an infrequent complication of pacemaker or defibrillator lead insertion. It most commonly occurs through defects in the interatrial septum. Although patients may remain asymptomatic, the most common clinical complication is a thromboembolic event. Percutaneous technology has been described to safely remove misplaced leads. We present a case of a patient with a pacemaker lead in the left ventricle through a patent foramen ovale that was successfully extracted using excimer laser technology.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
authors.forename: Melissa M
authors.initials: MM
authors.lastname: Anastacio
authors.forename: Mario
authors.initials: M
authors.lastname: Castillo-Sang
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Lawton
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000628:therapy; D020878:Device Removal / Q000379:methods*; D003937:Diagnosis, Differential; D004452:Echocardiography; D004868:Equipment Failure; D005500:Follow-Up Studies; D054092:Foramen Ovale, Patent / Q000150:complications* / Q000175:diagnosis; D005548:Foreign-Body Migration / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008943:Mitral Valve / Q000293:injuries*; D010138:Pacemaker, Artificial; D013902:Radiography, Thoracic