Inadvertent Malposition of Temporary Pacing Lead in the Left Ventricle during Emergent Percutaneous Coronary Intervention: Passed Through the Patent Foramen Ovale

Bong Gun Song and Hyun Chuljo

Department of Medicine, Seongnam Citizens Medical Center, Republic of Korea

^*Correspondance to: Bong Gun Song 

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Abstract:

The inadvertent malposition of a temporary pacemaker lead in the left ventricle through patent foramen ovale is rare. A case of a man with hypertension and diabetes mellitus presented with sudden onset of retrosternal chest pain. His ECG showed ST-segment elevation and T-wave inversion in leads II, III, and a VF. Coronary angiography was immediately performed. Before right coronary artery intervention, prophylactic temporary pacemaker was inserted. After percutaneous coronary intervention was performed for the RCA, Two-dimensional transthoracic echocardiography showed the pacemaker lead passed though patent foramen ovale and placed on the mid inferior septum on left ventricle.

Keywords:

Malposition; Temporary pacemaker; Patent foramen ovale; Percutaneous coronary intervention

Cite the Article:

Song BG, Chuljo H. Inadvertent Malposition of Temporary Pacing Lead in the Left Ventricle during Emergent Percutaneous Coronary Intervention: Passed Through the Patent Foramen Ovale. Clin Case Rep Int. 2020; 4: 1161.