LEAD DISLODGMENT OF A PERMANENT PACEMAKER DUE TO REMOVAL OF A TEMPORARY PACING ELECTRODE

A 63-year-old male received a transvenous temporary pacemaker for brad yarrhythmia following mitral valve replacement and tricuspid valve ann uloplasty. A transvenous permanent pacemaker was implanted the followi ng day due to persistence of the bradyarrythmia and pacemaker dependen cy of the patient. Later the same day during removal of the temporary pacing electrode the permanent pacing lead was dislodged and had to be operatively repositioned. To avoid this complication, the position of pacemaker leads should be checked postoperatively with a frontal and lateral chest radiograph, and fluoroscopy should be used during remova l of a temporary lead.