尽管进行了抗血小板和抗凝治疗，但起搏器导线位置异常仍导致了随后的缺血性中风。

Rath Claus, Andreas Martin, Khazen Caesar, Wiedemann Dominik, Habertheuer Andreas, Kocher Alfred

Division of Cardiac Surgery, Vienna General Hospital, Medical University of Vienna, Waehringer Guertel 18-20, Vienna A-1090, Austria.

J Cardiothorac Surg. 2014 Mar 20;9:54. doi: 10.1186/1749-8090-9-54.

Pacemaker lead malpositioning may lead to severe clinical adverse events. Rarely, cases of inadvertent placement of a lead into the left ventricle are reported in the literature. We herein report a case of pacemaker lead malpositioning into the left ventricle via a persistent foramen ovale in a male caucasian patient. After this procedural adverse event, the patient suffered from two ischemic strokes despite antiplatelet and anticoagulation therapy.

起搏器导线位置异常可能导致严重的临床不良事件。文献中很少报道导线意外置入左心室的病例。我们在此报告一例白种男性患者起搏器导线经持续性卵圆孔未闭异常置入左心室的病例。在这一手术不良事件发生后，尽管进行了抗血小板和抗凝治疗，患者仍发生了两次缺血性中风。