title: Incorrect ventricular lead placement into the systemic right ventricle of a patient with D-transposition of the great vessels after Mustard procedure.
abstract: Incorrect pacemaker lead placement into the systemic ventricle is a complication that has rarely been described in patients with D-transposition status after atrial baffle palliation. We present a case of ventricular lead misplacement in the systemic right ventricle of a patient with D-transposition of the great arteries after Mustard procedure. This case demonstrates the challenges with proper imaging of lead placement in patients with atrial baffles and long-term management of a lead in the systemic ventricle.
authors.affiliation: Division of Pediatric Cardiology,Cincinnati Children's Hospital,Cincinnati,Ohio,United States of America.
authors.forename: Adam W
authors.initials: AW
authors.lastname: Powell
authors.affiliation: Division of Pediatric Cardiology,Cincinnati Children's Hospital,Cincinnati,Ohio,United States of America.
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Kimball
mesh_terms: D000328:Adult; D054537:Atrioventricular Block / Q000628:therapy*; D006348:Cardiac Surgical Procedures; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011184:Postoperative Period; D014057:Tomography, X-Ray Computed; D014188:Transposition of Great Vessels / Q000601:surgery*; D018497:Ventricular Dysfunction, Right / Q000175:diagnosis / Q000209:etiology*
keywords: Atrial switch; mustard procedure; ventricular lead misplacement