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International Cardiovascular Research Journal
The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences
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Myocardial infarction caused by active-fixation atrial pacing lead screwed into the anterior descending coronary artery
Author(s):
Eglė Majauskienė1, 2,*, Gediminas Aucina1, 2, Palmyra Semeniene1, 2, Paulius Jurkuvenas1, 2, Pranas Serpytis1, 2, 31Cardiovascular Clinic, Institute of Clinical Medicine, Vilnius University, Faculty of Medicine, Vilnius, Lithuania
2University Hospital Santaros Klinikos, Cardiology and Angiology Center, Vilnius, Lithuania
3University Hospital Santaros Klinikos, Emergency Medicine Center, Vilnius, Lithuania
*Corresponding Author: Egle Majauskiene, Cardiovascular Clinic, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania, Tel: 0037-062637604, E-mail: [email protected]. Email: [email protected]
Published online:Dec 15, 2018
Article type:Case Report
Received:Dec 04, 2018
Accepted:Jul 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. doi:
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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Copyright
© 2018, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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