Loading...
Thumbnail Image
Publication

Dual Chamber Pacemaker Implant in Coronary Sinus Leading to Several Complications

Ibrahim, Mina
Botrous, Christine
Anos, Amr
Hogrefe, Kai
Pathiraja, Janaka
Date
2024-11-05
Journal Title
Type
Journal Article
Engagement
Google Scholar:
Altmetric:
Collections
Abstract
Permanent pacemaker implantation is a low-risk procedure. However, complications may occur at a rate of around 4-8%. We present a case where initial implantation resulted in complications that could have been avoided by meticulous assessment of lead position in different projections and early post-procedure X-ray that would have delineated other serious complications. We present a case where the right ventricular lead was placed in the coronary sinus, which resulted in the loss of pacing capture with further syncope after the pacemaker implant. This was apparent in the post-procedure electrocardiogram (ECG) with right bundle branch pacing and the lead was repositioned in the right ventricular apex the following day. Furthermore, the patient was discharged home without a chest X-ray (CXR), and she represented a week later with a haemo-pneumothorax and pericardial effusion. A chest drain was placed and was discharged after a slow recovery following several complications that could have been avoidable.
Citation
Wassef, N., Ibrahim, M., Botrous, C., Anos, A., Hogrefe, K., & Pathiraja, J. (2024). Dual Chamber Pacemaker Implant in Coronary Sinus Leading to Several Complications. Diagnostics (Basel, Switzerland), 14(22), 2465. https://doi.org/10.3390/diagnostics14222465
Usage rights
CC BY 4.0