title: Incidental Finding of Malpositioned Pacing Lead in the Left Ventricle in a Patient With Subacute Subdural Hematoma.
abstract: Malposition of the right ventricular lead into the left ventricle is an unusual complication of challenging management. We report a case of an elderly woman with a dual chamber permanent pacemaker implanted 2 months before admission because of high grade AV block, who presented to our institution with sub acute subdural hematoma along the left fronto-parietal area. Incidental ventricular pacemaker lead in the left ventricle was found on chest CT scan. The patient was not candidate for anticoagulation due to her recent subdural hematoma, hence a discussion about the risks of explantation of the pacemaker lead led to patient's lead extraction without any complication.
authors.affiliation: Brookdale Hospital Medical Center, Brooklyn, NY, USA; SUNY Downstate Medical Center, Brooklyn, NY, USA.
authors.forename: Asma
authors.initials: A
authors.lastname: Syed
authors.affiliation: Brookdale Hospital Medical Center, Brooklyn, NY, USA.
authors.forename: Sohail
authors.initials: S
authors.lastname: Salim
authors.affiliation: Brookdale Hospital Medical Center, Brooklyn, NY, USA; SUNY Downstate Medical Center, Brooklyn, NY, USA; 1 Brookdale Plaza, Brooklyn, NY 11212, USA.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Castillo
keywords: Anticoagulation; Pacemaker; Ventricular lead