Acharya M, Kavanagh E, Garg S, Sef D, de Robertis F. Management of a patient with an unusual trajectory of a temporary trans-venous pacing lead. World J Cardiol 2024; 16(6): 314-317 [PMID: 38993582 DOI: 10.4330/wjc.v16.i6.314]
Corresponding Author of This Article
Davorin Sef, MD, PhD, MEBCTS, Department of Cardiac Surgery, University Hospitals of Leicester NHS Trust, Grooby Road, Leicester LE3 9QP, United Kingdom. davorin.sef@gmail.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Metesh Acharya, Ethan Kavanagh, Davorin Sef, Department of Cardiac Surgery, University Hospitals of Leicester NHS Trust, Leicester LE3 9QP, United Kingdom
Sheena Garg, Department of Cardiac Surgery, King’s College London, London WC2R 2LS, United Kingdom
Fabio de Robertis, Department of Cardiac Surgery, Royal Brompton and Harefield Hospitals, London UB9 6JH, United Kingdom
Author contributions: Acharya M and Kavanagh E designed the research study; Acharya M, Kavanagh E and Garg S wrote the original draft of the manuscript; Sef D and de Robertis F analyzed the literature and edited the draft of the manuscript; All authors have read and approve the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: Https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Davorin Sef, MD, PhD, MEBCTS, Department of Cardiac Surgery, University Hospitals of Leicester NHS Trust, Grooby Road, Leicester LE3 9QP, United Kingdom. davorin.sef@gmail.com
Received: April 28, 2024 Revised: June 3, 2024 Accepted: June 13, 2024 Published online: June 26, 2024 Processing time: 57 Days and 12.1 Hours
Abstract
Perforation of the right ventricle during placement of pacing wires is a well-documented complication and can be potentially fatal. Use of temporary pacemaker, helical screw leads and steroids use prior to implant are recognised as risk factors for development of post-permanent pacemaker effusion. We reported an unusual case of pacing wire perforating interventricular septum into the left ventricle that occurred during the implant procedure performed in another institution. After the preoperative work-up and transfer to our tertiary cardiothoracic centre, the patient underwent successful surgical management. In conclusion, early recognition and timely diagnosis using advanced multimodality imaging can guide surgical intervention and prevent unfavourable consequences of device-related complications.
Core Tip: Early recognition and timely diagnosis using advanced multimodality imaging can guide surgical intervention and prevent unfavourable consequences of device-related complications.
