Permanent pacemaker implanted into patient’s left ventricle via subclavian artery by mistake: a case report

BMC Cardiovascular Disorders

Hao Chen¹  Zhiyong Wang¹  Changlin Zhai¹  Guanmin Tang¹ 

[1] Department of Cardiology, Jiaxing Cardiovascular Key Discipline, First Affiliated Hospital of Jiaxing University, No. 1882 South Zhonghuan Road, Jiaxing 314000, Zhejiang, China

关键词: Pacemaker electrode;    Subclavian artery;    Left ventricle;    Permanent pacemaker;   

Others  :  1180692
DOI  :  10.1186/s12872-015-0032-2

 received in 2014-12-02, accepted in 2015-04-21,  发布年份 2015

【 摘 要 】

Background

Although various iatrogenic complications could be observed in the process of permanent pacemaker implantation, pacemaker electrode mistakenly implanted into left ventricle via subclavian artery and aortic valve has not been reported.

Case presentation

Herein, we reported a 71-year-old woman with permanent pacemaker mistakenly implanted into the left ventricle. During the operation of permanent pacemaker implantation, puncture was performed on her subclavian artery by mistake, and then the pacemaker electrode was put into the cardiac apex of left ventricle via ascending aorta reversely.

Conclusion

The further operation could be conducted.

【 授权许可】

   
2015 Tang et al.; licensee BioMed Central.

【 图 表 】

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【 参考文献 】

• [1]Furman S, Schwedel JB: An intracardiac pacemaker for Stokes-Adams seizures. N Engl J Med 1959, 261:943-8.
• [2]Cano O, Osca J, Sancho-Tello M-J, Sánchez JM, Ortiz V, Castro JE, et al.: Comparison of effectiveness of right ventricular septal pacing versus right ventricular apical pacing. Am J Cardiol 2010, 105:1426-32.
• [3]Rosso R, Medi C, Teh AW, Hung TT, Feldman A, Lee G, et al.: Right ventricular septal pacing: a comparative study of outflow tract and mid ventricular sites. Pacing Clin Electrophysiol 2010, 33:1169-73.
• [4]Kistler PM, Liew G, Mond HG: Long-term performance of active-fixation pacing leads: a prospective study. Pacing Clin Electrophysiol 2006, 29:226-30.
• [5]Canabal A, Hortiguela V, Raigal A, Sanchez P, Sanchez M, Marco C, et al.: Foreseeable variation in parameters measured at implant and follow-up of permanent pacemaker active fixation electrodes. Med intensiva 2012, 36:270-6.
• [6]Erdogan O, Aktoz M, Altun A: Long-term safety and efficacy of right ventricular outflow tract pacing in patients with permanent pacemakers. Anadolu Kardiyol Derg 2008, 8:350-3.
• [7]Gulmez O, Atar I, Sade E, Atar IA, Ertan C, Muderrisoglu H, et al.: The effects of short time right ventricular pacing on left atrial mechanical functions. Indian Pacing Electrophysiol J 2009, 9:151-7.
• [8]Sivakumar K, Coelho R: Novel technique of dual chamber pacing through mini-thoracotomy and transatrial endocardial active fixation lead insertion for epicardial pacing lead malfunction. Indian Pacing Electrophysiol J 2013, 13:170-2.
• [9]Garcia Guerrero JJ, De La Concha Castaneda JF, Fernandez Mora G, Lopez Quero D, Redondo Mendez A, Davila Davila E, et al.: Permanent transfemoral pacemaker: a single-center series performed with an easier and safer surgical technique. Pacing Clin Electrophysiol 2005, 28:675-9.