CTICasesInadvertent Left Ventricular Pacemaker Placement
Imaging findings
Pacemaker lead crossing from the right atrium into the left atrium/ventricle via the septum. Lead positioning appeared normal on initial scout views but was posteriorly displaced on sagittal CT.
Key takeaways
Perforation of the septum can lead to unintentional left ventricular pacing, which may go undetected for years if not specifically interrogated.
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