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Europace 1999 1(3):202-205; doi:10.1053/eupc.1999.0041
© 1999 by European Society of Cardiology
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CASE REPORT

Recurrent cardioembolic stroke related to late dislodgment of a right atrial pacing lead into the left atrium

M. Arbane, J. Schläpfer, N. Aebischer and L. Kappenberger

Division of Cardiology, Centre Hospitalier Universitaire Vaudois Lausanne, Switzerland

A 76-year-old woman had a permanent transvenous DDDR pacemaker implanted for complete atrioventricular block. She was hospitalized 4 years later for recurrent transient ischaemic attacks related to dislodgment of the atrial lead into the left atrium through a patent foramen ovale. The patient was successfuly treated by transvenous extraction of the atrial lead. The follow-up has been uneventful 12 months after the procedure. Left atrially dislodged pacemaker leads have to be retracted under full anticoagulation.

Key Words: Endocardial pacing, lead dislodgment, cardiogenic systemic embolism

Correspondence: Malika Arbane, Division of Cardiology, BH 16, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland.


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S. Ninot, G. Sanchez, and C.-A. Mestres
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