Management of a patient with an unusual trajectory of a temporary trans-venous pacing lead  

作　　者：Metesh Acharya Ethan Kavanagh Sheena Garg Davorin Sef Fabio De Robertis 

机构地区：[1]Department of Cardiac Surgery,University Hospitals of Leicester NHS Trust,Leicester LE39QP,United Kingdom [2]Department of Cardiac Surgery,King’s College London,London WC2R 2LS,United Kingdom [3]Department of Cardiac Surgery,Royal Brompton and Harefield Hospitals,London UB96JH,United Kingdom

出　　处：《World Journal of Cardiology》2024年第6期314-317,共4页世界心脏病学杂志（英文版）（电子版）

摘　　要：Perforation of the right ventricle during placement of pacing wires is a welldocumented complication and can be potentially fatal.Use of temporary pacemaker,helical screw leads and steroids use prior to implant are recognised as risk factors for development of post-permanent pacemaker effusion.We reported an unusual case of pacing wire perforating interventricular septum into the left ventricle that occurred during the implant procedure performed in another institution.After the preoperative work-up and transfer to our tertiary cardiothoracic centre,the patient underwent successful surgical management.In conclusion,early recognition and timely diagnosis using advanced multimodality imaging can guide surgical intervention and prevent unfavourable consequences of device-related complications.

关 键 词：Ventricular perforation Lead perforation PACING 

分 类 号：R540.45[医药卫生—心血管疾病]