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Related Experiment Video

Updated: Apr 15, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
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An unusual position for the permanent pacing wire.

Pankaj Kumar Mishra1, Alexander Ng2, Heyman Luckraz1

  • 1Department of Cardiothoracic Surgery, Heart and Lung Centre, Wolverhampton, United Kingdom.

The Thoracic and Cardiovascular Surgeon Reports
|March 24, 2015
PubMed
Summary
This summary is machine-generated.

Permanent pacing wires can perforate the ventricle, usually the right. This case highlights an uncommon instance of pacing wire perforation through the left ventricular anterior wall.

Keywords:
arteryleft ventricular perforationpermanent pacing wires

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Area of Science:

  • Cardiology
  • Medical Imaging
  • Cardiac Surgery

Background:

  • Permanent pacing is a common procedure for cardiac rhythm management.
  • Ventricular perforation is a known but rare complication of permanent pacing wire insertion.
  • Perforation typically involves the right ventricle due to anatomical proximity and wire manipulation.

Purpose of the Study:

  • To report an unusual case of permanent pacing wire perforation.
  • To illustrate the anterior left ventricular wall as a rare site of perforation.
  • To emphasize the importance of recognizing atypical complications in cardiac device implantation.

Main Methods:

  • Review of imaging studies (e.g., echocardiography, CT scan) of a patient with suspected pacing wire complication.
  • Correlation of imaging findings with clinical presentation and procedural details.
  • Surgical or interventional management of the perforation.

Main Results:

  • Pacing wires were identified to have perforated the anterior left ventricular wall.
  • The perforation site was located between the left anterior descending artery and a diagonal artery.
  • The patient's clinical course and management were documented.

Conclusions:

  • Left ventricular perforation by permanent pacing wires is a rare but possible complication.
  • Anatomical awareness and careful technique are crucial during pacing wire placement.
  • Prompt diagnosis and management are essential for favorable patient outcomes.