Abstract / Summary
Implantable cardioverter defibrillators (ICDs) are recommended for primary or secondary prevention in multiple cardiac conditions.One of the recognised complications during implantation of cardiac implantable electronic device (CIED) is inadvertent lead malposition in the left heart (ILMLH), which can lead to further thromboembolism and infective endocarditis.In this paper, we present a unique case of a patient who had an accidental ICD lead implanted into the left ventricle via an atrial septal defect (ASD).Evidence on the management of such a complication is rare.A watchful-wait approach with appropriate anticoagulation was adopted here, resulting in an uneventful 18year survival.We also navigate through the current evidence on the recognition and management of such cases.