Author/Authors :
Majauskiene, Egle Cardiovascular Clinic - Institute of Clinical Medicine - Vilnius University - Faculty of Medicine, Vilnius, Lithuania , Aucina, Gediminas Cardiovascular Clinic - Institute of Clinical Medicine - Vilnius University - Faculty of Medicine, Vilnius, Lithuania , Semeniene, Palmyra Cardiovascular Clinic - Institute of Clinical Medicine - Vilnius University - Faculty of Medicine, Vilnius, Lithuania , Jurkuvenas, Paulius Cardiovascular Clinic - Institute of Clinical Medicine - Vilnius University - Faculty of Medicine, Vilnius, Lithuania , Serpytis, Pranas Cardiovascular Clinic - Institute of Clinical Medicine - Vilnius University - Faculty of Medicine, Vilnius, Lithuania
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.
