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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.
Abstract:
Pulmonary artery migration of pacemaker lead is rare and may result in pulmonary emboli originating from the thrombus around the infected catheter and causing multiple pulmonary infarcts. We report an unusual case of pacemaker lead migration to the right pulmonary artery with septic pulmonary embolism. While being treated with intravenous Cefuroxamine, the patient had spontaneous migration of the lead to the left pulmonary artery with subsequent left pulmonary embolism.
Insights
Pacemaker lead migration to the pulmonary artery is rare. This case shows lead migration causing septic pulmonary embolism and infarcts, highlighting a critical complication.
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.
- It highlights the risk of septic pulmonary embolism even after initial treatment.
- Early recognition and management are crucial for patients with pacemaker lead complications.