[我认为这是正确的……卵圆孔未闭导致左心室意外铅误置的延迟诊断]

[I thought it was right... Late diagnosis of accidental lead misplacement in the left ventricle across patent foramen ovale].

作者信息

Lalloni Stefania, Lalloni Luca, Riccardi Riccardo, Peila Claudio, Lollino Sara, Laiso Davide

机构信息

Reparto di Cardiologia, Ospedale E. Agnelli di Pinerolo, ASL TO3, Pinerolo (TO).

出版信息

G Ital Cardiol (Rome). 2020 Oct;21(10):816-818. doi: 10.1714/3431.34208.

DOI:10.1714/3431.34208

PMID:32968319

Abstract

Accidental lead misplacement in the left ventricle is a rare complication, which should be diagnosed early and treated with lead removal. In case of late diagnosis, chronic anticoagulant therapy or, if the patient needs cardiac surgery for other reasons, surgical lead removal are recommended. In the present case, lead misplacement occurred at the time of a traditional pacemaker implantation due to bradycardia.

摘要

起搏器导线意外误置于左心室是一种罕见的并发症，应尽早诊断并取出导线进行治疗。若诊断延迟，推荐进行长期抗凝治疗，或者，如果患者因其他原因需要进行心脏手术，则建议手术取出导线。在本病例中，由于心动过缓，在植入传统起搏器时发生了导线误置。