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Left ventricular pacemaker lead insertion through the foramen ovale--a case report.
Armagan Altun1, Osman Akdemir, Okan Erdogan
1Department of Cardiology, Medical School, Trakya University, Edirne, Turkey. altun@medscape.com
Angiology
|October 9, 2002
Summary
A long-dwelling pacemaker lead in the left ventricle was identified entering via the foramen ovale and mitral valve. This case highlights crucial precautions for correct pacemaker implantation to prevent complications.
Area of Science:
- Cardiology
- Medical Devices
- Echocardiography
Background:
- Pacemaker implantation is a common procedure for managing cardiac arrhythmias.
- Lead placement is critical for device function and patient safety.
- Complications can arise from improper lead positioning.
Observation:
- A 6-year-old pacemaker lead was found in the left ventricle.
- Echocardiography confirmed the lead traversed the foramen ovale and mitral valve.
- The patient remained asymptomatic without thromboembolic events.
Findings:
- The lead's unusual trajectory through the foramen ovale and mitral valve was visualized.
- Absence of thromboembolic events despite the lead's abnormal position.
Implications:
- This case underscores the importance of meticulous pacemaker lead implantation techniques.
- Awareness of potential lead migration pathways is essential for clinicians.
- Proper placement minimizes risks such as thromboembolism and device malfunction.