CTICasesMisplaced Pacemaker Lead
Imaging findings
Frontal radiograph appears normal, but lateral view shows a ventricular lead deviating posteriorly. Cross-sectional imaging confirms the lead crossed the atrial septum into the left ventricle.
Key takeaways
Lateral views of pacemaker leads are essential to rule out malposition, such as passing through the atrial septum into the LV (via a PFO or septal puncture).
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