A rare case of delayed complete lead dislodgement after deep septal pacing: A hidden risk of the specific procedure.

Ryo WatanabeYasuya Inden Satoshi YanagisawaYuji NaritaKei HiramatsuRyota YamauchiNaoki TsurumiNoriyuki SuzukiMasafumi ShimojoKazumasa SugaYukiomi TsujiToyoaki Murohara

Published in: Pacing and clinical electrophysiology : PACE (2023)

Deep septal ventricular pacing is a recently developed physiological pacing modality with good efficacy; however, it has a potential risk of unusual complications. Here, we report a patient with pacing failure and spontaneous, complete lead dislodgement after >2 years of deep septal pacing, possibly caused by systemic bacterial infection and specific lead behavior in the septal myocardium. This case report may implicate a hidden risk of unusual complications in deep septal pacing.

Keyphrases

cardiac resynchronization therapy
hypertrophic cardiomyopathy
left ventricular
case report
heart failure
rare case
risk factors
minimally invasive