{
  "abstract": "Background: LMNA-related dilated cardiomyopathy is associated with ventricular remodeling and a high arrhythmic risk, frequently requiring implantable cardioverter-defibrillator (ICD) implantation. Although transvenous systems are generally safe, rare lead-related complications may occur.\n\nCase Summary: We report a 51-year-old man with LMNA-related dilated cardiomyopathy who experienced 2 rare and sequential ICD lead complications. An initially septal right-ventricular lead was complicated by myocardial transfixion because of anterior apical positioning, revealed by cardiac computed tomography after a rise in pacing thresholds. During reintervention, a second lead was implanted but was later found to have traversed an unrecognized sinus venosus atrial septal defect with partial anomalous pulmonary venous return, resulting in inadvertent left-ventricular lead placement. The lead was successfully repositioned under transesophageal echocardiographic guidance. Three-dimensional computed tomography reconstruction clearly demonstrated both abnormal lead positions.\n\nDiscussion and Take-Home Message: This case highlights the importance of systematic troubleshooting, awareness of altered anatomy, and multimodality imaging during ICD implantation.",
  "abstract_shown": true,
  "affiliations": [
    "Reference Center for Inherited Arrhythmic Syndromes, Hôpital Bichat, APHP, Université Paris Cité, Paris, France"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Pierre-Léo Laporte"
    },
    {
      "affs": [
        0
      ],
      "name": "Gauthier Giordano"
    },
    {
      "affs": [
        0
      ],
      "name": "Géraldine Vedrenne"
    },
    {
      "affs": [
        0
      ],
      "name": "Anne Messali"
    },
    {
      "affs": [
        0
      ],
      "name": "Fabrice Extramiana"
    },
    {
      "affs": [
        0
      ],
      "name": "Vincent Algalarrondo"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/et2x74q37ppqh.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.109927",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13698945/",
  "id": "et2x74q37ppqh",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://doi.org/10.1016/j.jaccas.2026.109927",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Clinical Case"
    ],
    [
      "heading",
      "Rhythm Disorders and Electrophysiology"
    ],
    [
      "lcc",
      "RC666-701"
    ],
    [
      "openalex",
      "2705|Cardiac pacing and defibrillation studies"
    ]
  ],
  "openalex": "W7203970345",
  "pdf_url": "https://www.jacc.org/doi/pdf/10.1016/j.jaccas.2026.109927?download=true",
  "pmcid": "PMC13698945",
  "pmid": "42631675",
  "published": "2026-08-22",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/et2x74q37ppqh.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:38Z",
      "native_id": "PMC13698945",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109927"
    },
    {
      "first_seen": "2026-10-30T13:43:15Z",
      "native_id": "6b0f8d0190d44274a747a21292ea2580",
      "source": "doaj",
      "url": "https://doi.org/10.1016/j.jaccas.2026.109927"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2705|Cardiac pacing and defibrillation studies",
      "subfield": "cardiovascular"
    }
  ],
  "title": "Dual Rare Lead-Related Complications",
  "title_text": "Dual Rare Lead-Related Complications",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:43:15Z",
  "url": "https://research.draconitic.com/paper/et2x74q37ppqh",
  "venue": "JACC Case Reports",
  "versions": []
}