Department of Cardiology, School of Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, PO Box: 1419733141, Tehran, Iran.
Department of Cardiology, Research Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Future Cardiol. 2024 Apr 25;20(5-6):269-274. doi: 10.1080/14796678.2024.2363627. Epub 2024 Jun 20.
Cardiac electronic device implantation may be associated with complications. This is a report of inadvertent implantation of implantable cardioverter-defibrillator lead through an unrecognized sinus venosus atrial septal defect into the left ventricle that was not diagnosed early after implantation. Six months later chest x-ray showed an abnormal lead course that was confirmed with echocardiography as to be in the left ventricle. Surgical removal of the implantable cardioverter-defibrillator lead, repair of atrial septal defect, and correction of abnormal pulmonary venous connections were performed. Meanwhile, follow-up of the patient receiving a new dual chamber permanent pacemaker from the contralateral side and discussion of the aforementioned complication are addressed. Early diagnosis of device implantation complication is of paramount importance and prevents potential catastrophic complications.
心脏电子设备植入可能会伴随一些并发症。本报告介绍了一例植入式心律转复除颤器导线经未被识别的窦房静脉房间隔缺损意外植入左心室的病例，该病例在植入后早期并未被诊断。6 个月后，胸部 X 线显示导线异常，经超声心动图证实导线位于左心室。随后进行了植入式心律转复除颤器导线取出术、房间隔缺损修补术和异常肺静脉连接矫正术。同时，对患者进行了另一侧的新的双腔永久起搏器的随访，并讨论了上述并发症。早期诊断设备植入并发症至关重要，可以预防潜在的灾难性并发症。
