Inadvertent implantable cardioverter defibrillator lead placement in the left ventricle: long-term follow-up at nine years and management by minimally-invasive surgery

We describe the case history of a 43-year-old male with type 1 Brugada syndrome. He was fitted with an implantable cardioverter defibrillator (ICD) for primary prevention nine years ago. After admission for inappropriate shocks, an abnormal position of the lead was discovered. Further investigations (chest X-ray and transesophageal echocardiography) showed that the ICD lead was in fact in the left ventricle. The ICD lead was removed successfully using video-assisted thoracoscopic surgery.