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Incorrect ventricular lead placement into the systemic right ventricle of a patient with D-transposition of the great vessels after Mustard procedure

Published online by Cambridge University Press:  30 August 2016

Adam W. Powell*
Affiliation:
Division of Pediatric Cardiology, Cincinnati Children’s Hospital, Cincinnati, Ohio, United States of America
Thomas R. Kimball
Affiliation:
Division of Pediatric Cardiology, Cincinnati Children’s Hospital, Cincinnati, Ohio, United States of America
*
Correspondence to: A.W. Powell, Division of Pediatric Cardiology, Cincinnati Children’s Hospital, 3333 Burnett Avenue, MLC 2003, Cincinnati, OH 45229-3026, United States of America. Tel: 513-636-4432; Fax: 513-636-3952; E-mail: Adam.Powell@cchmc.org

Abstract

Incorrect pacemaker lead placement into the systemic ventricle is a complication that has rarely been described in patients with D-transposition status after atrial baffle palliation. We present a case of ventricular lead misplacement in the systemic right ventricle of a patient with D-transposition of the great arteries after Mustard procedure. This case demonstrates the challenges with proper imaging of lead placement in patients with atrial baffles and long-term management of a lead in the systemic ventricle.

Type
Brief Report
Copyright
© Cambridge University Press 2016 

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