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Echocardiographic diagnosis of permanent pacemaker lead malposition in the left ventricle: A case study

Lookup NU author(s): Peter LukeORCiD, Dr Ewen Shepherd, Dr Timothy Irvine, Dr Rae Duncan


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Inadvertent endocardial lead malposition is recognized as a rare incident which is usually underreported and if recognized during implantation can be easily corrected. This phenomenon is caused by the ventricular lead unintentionally crossing a pre‐existing patent foremen ovale, septal defects (atrial or ventricular) or directly from the aorta via an accidental subclavian puncture resulting in the lead implanting into the left ventricle. While this is a rare occurrence we report, the incidental finding of pacemaker lead malposition during a routine follow‐up transthoracic echocardiogram and the benefits of three‐dimensional transesophageal echocardiography in this patient prior to lead extraction.

Publication metadata

Author(s): Luke P, Shepherd E, Irvine T, Duncan R

Publication type: Article

Publication status: Published

Journal: Echocardiography

Year: 2020

Volume: 37

Issue: 12

Pages: 2163-2167

Print publication date: 01/12/2020

Online publication date: 20/11/2020

Acceptance date: 08/11/2020

ISSN (electronic): 1540-8175

Publisher: Wiley-Blackwell Publishing, Inc.


DOI: 10.1111/echo.14938


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