Inadvertent left ventricular placement of ICD lead through the left subclavian artery right positioned in a patient with situs viscerum inversus and Kartagener syndrome.

Autor: Carretta D; Cardiology Hospital, Policlinico of Bari, Bari, Italy., Castellano M; Cardiology Hospital, Policlinico of Bari, Bari, Italy., Gianfrancesco D; Cardiology Department, Andria Hospital, Andria, Italy., De Michele L; Cardiology Hospital, Policlinico of Bari, Bari, Italy., Cozzolino M; Imaging Radiology Department, University Policlinico of Bari, Bari, Italy., Pedote P; Imaging Radiology Department, University Policlinico of Bari, Bari, Italy., Angiletta D; Vascular Surgery Department, University Policlinico of Bari, Bari, Italy., Pulli R; Vascular Surgery Department, University Policlinico of Bari, Bari, Italy., Colonna P; Cardiology Hospital, Policlinico of Bari, Bari, Italy., D'Agostino C; Cardiology Hospital, Policlinico of Bari, Bari, Italy.
Jazyk: angličtina
Zdroj: Journal of cardiology cases [J Cardiol Cases] 2021 Jul 09; Vol. 25 (1), pp. 26-29. Date of Electronic Publication: 2021 Jul 09 (Print Publication: 2022).
DOI: 10.1016/j.jccase.2021.06.009
Abstrakt: Inadvertent placement of pacemaker and implantable cardioverter-defibrillator (ICD) leads in the left ventricle is a rare but well-recognized complication of device implantation. We report a case of an unicameral ICD lead inadvertently placed through the left subclavian artery right positioned, across the aortic valve into the left ventricle, in a patient with situs viscerum inversus. A transthoracic echocardiogram about a month after the procedure showed an unusual course of the lead. The lead was successfully removed without complications or sequelae. < Learning objective: Subclavian artery accidental puncture during pacemaker / implantable cardioverter-defibrillator implantation is an important complication. With grown up congenital heart this complication could occur more frequently and with more serious complications if the patient's anatomy is not well framed and deepened by specific instrumental examinations. If the above complication is managed quickly and competently and if the artery is not instrumented, it does not cause serious consequences.>.
(© 2021 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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