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Dual Chamber Pacemaker Implant in Coronary Sinus Leading to Several Complications
; Ibrahim, Mina ; Botrous, Christine ; Anos, Amr ; Hogrefe, Kai ; Pathiraja, Janaka
Ibrahim, Mina
Botrous, Christine
Anos, Amr
Hogrefe, Kai
Pathiraja, Janaka
Gloucestershire Author
Date
2024-11-05
Journal Title
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Type
Journal Article
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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
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CC BY 4.0