Paced right bundle branch block: identification and management of a malpositioned left ventricular pacemaker lead
Bol. Asoc. Méd. P. R
;
99(1): 46-50, jan.-mar. 2007.
Article
in English
| LILACS
| ID: lil-471878
ABSTRACT
Malpositioning of a permanent pacemaker lead in the left ventricle is rare. Usually, a paced right bundle branch pattern is the initial finding that fosters other confirmatory studies such as chest films and transthoracic echocardiogram. We describe the unusual case of an asymptomatic 83-year-old male patient who was incidentally found with a permanent pacemaker lead placed through the atrial septum into the left ventricle. This patient had contraindications for chronic anticoagulation and was placed on antiplatelet therapy instead. He has been well after three years without evidence of embolic episodes.
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Index:
LILACS (Americas)
Main subject:
Pacemaker, Artificial
/
Bundle-Branch Block
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Aged
/
Aged80
/
Humans
/
Male
Language:
English
Journal:
Bol. Asoc. Méd. P. R
Journal subject:
Medicine
Year:
2007
Type:
Article
Affiliation country:
Puerto Rico
Institution/Affiliation country:
Veterans Administration Medical Center of San Juan/PR
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