CC BY-NC-ND 4.0 · THORAC CARDIOV SURG Reports 2019; 08(01): e8-e10
DOI: 10.1055/s-0039-1687821
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Misplaced Ventricular Lead via an Atrial Septal Defect–Percutaneous Extraction

1  Department of Cardiac Surgery, University Clinic Oldenburg, European Medical School Oldenburg-Groningen, Oldenburg, Germany
,
Malte Book
2  Department of Anaesthesiology, Critical Care, Emergency Medicine and Pain Therapy, University Clinic Oldenburg, European Medical School Oldenburg-Groningen, Oldenburg, Germany
,
Samer Hakmi
3  Department for Cardiovascular Surgery, University Hospital Hamburg, Hamburg, Germany
,
Alexander Weymann
1  Department of Cardiac Surgery, University Clinic Oldenburg, European Medical School Oldenburg-Groningen, Oldenburg, Germany
› Author Affiliations
Further Information

Publication History

04 December 2018

24 January 2019

Publication Date:
19 April 2019 (online)

  

Abstract

Background Necessity for lead removal in this case was after 12 years due to mitral valve regurgitation caused by retraction of the posterior leaflet by the inadvertently misplaced lead.

Case Description This history describes a 45-year-old woman with history of multiple cardiac operations at young age with an abandoned defibrillator lead via a patent atrial septal defect. Lead extraction was performed with first described use of rotational dilating sheaths to reduce emboli risk, hoping to avoid a fourth surgical procedure with high risk.

Conclusions Percutaneous lead removal using rotational sheaths is possible even for misplaced leads after long-time intervals with acceptable operative risk.