Therapeutic Research

Abstract

Lead dislodgement usually occurs in the first few days after the procedure. We report a case of pacemaker lead dislodgement because of deep breath on the eight day. A 83 years old male was admitted to our hospital after syncope. Complete AV block was seen and DDD pacemaker was implanted. After operation on spine position, atrial and ventricular leads had enough curve while deep breath. On the next day chest X –ray on standing position showed straightened lead. Until seventh day no pacing failure happened and both leads had good pacing and sensing characteristics as before. But on the eight day, he lost consciousness after especially deep breath and pacing failure occurred. Reoperation and repositioning of the lead were performed for dislodged ventricular lead. We have to be careful to unnecessary deep breath avoiding lead dislodgement.