Myocardial infarction caused by active-fixation atrial pacing lead screwed into the anterior descending coronary artery

authors:

avatar Eglė Majauskienė 1 , 2 , * , avatar Gediminas Aucina 1 , 2 , avatar Palmyra Semeniene 1 , 2 , avatar Paulius Jurkuvenas 1 , 2 , avatar Pranas Serpytis 1 , 2 , 3

Cardiovascular Clinic, Institute of Clinical Medicine, Vilnius University, Faculty of Medicine, Vilnius, Lithuania
University Hospital Santaros Klinikos, Cardiology and Angiology Center, Vilnius, Lithuania
University Hospital Santaros Klinikos, Emergency Medicine Center, Vilnius, Lithuania
International Cardiovascular Research Journal: Vol.12, issue 4; e68816
published online: December 15, 2018
article type: Case Report
received: December 04, 2018
accepted: July 10, 2018

how to cite: Majauskienė E, Aucina G, Semeniene P, Jurkuvenas P, Serpytis P. Myocardial infarction caused by active-fixation atrial pacing lead screwed into the anterior descending coronary artery. Int Cardiovasc Res J. 2018;12(4):e68816. 

Abstract

Coronary artery injury is a particularly rare complication of pacemaker implantation. Herein, we reported the case of a 76-year-old woman with sick sinus syndrome undergoing permanent pacemaker implantation who presented with chest pain a day after the procedure. During angiography, a pacemaker lead screwed into the left anterior descending coronary artery was found. The coronary artery was covered by a stent and the lead position was corrected. Based on the published research, the majority of right ventricular pacemaker leads implanted on the septum are indeed implanted on the anteroseptal junction. Since, the left anterior descending coronary artery covers this site, the risk of artery injury is higher.

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