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Related Experiment Videos

Unusual case of pacemaker lead migration.

B V Dalvi1, R M Rajani, Y Y Lokhandwala

  • 1Department of Cardiology, King Edward VII Memorial Hospital, Parel, Bombay.

Catheterization and Cardiovascular Diagnosis
|October 1, 1990
PubMed
Summary

Pacemaker lead migration to the pulmonary artery is rare. This case shows lead migration causing septic pulmonary embolism and infarcts, highlighting a critical complication.

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Radiology

Background:

  • Pacemaker lead migration into the pulmonary artery is a rare but serious complication.
  • Infection around the pacemaker lead can lead to thrombus formation and septic emboli.

Observation:

  • A patient experienced pacemaker lead migration to the right pulmonary artery.
  • This was associated with septic pulmonary embolism and multiple pulmonary infarcts.

Findings:

  • The patient was treated with intravenous Cefuroxamine.
  • During treatment, the lead spontaneously migrated to the left pulmonary artery.
  • This resulted in subsequent left pulmonary embolism.

Implications:

  • This case underscores the potential for delayed or secondary migration of pacemaker leads.

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  • It highlights the risk of septic pulmonary embolism even after initial treatment.
  • Early recognition and management are crucial for patients with pacemaker lead complications.