Paced right bundle branch block: identification and management of a malpositioned left ventricular pacemaker lead

Lugo-Adams, F; Rodríguez-Santiago, A; Mercado-Crespo, J; Rodríguez-Ospina, L

Lugo-Adams, F; Rodríguez-Santiago, A; Mercado-Crespo, J; Rodríguez-Ospina, L.

Afiliação

Lugo-Adams, F; Veterans Administration Medical Center of San Juan. Department of Medicine. Cardiology Section. PR
Rodríguez-Santiago, A; s.af
Mercado-Crespo, J; s.af
Rodríguez-Ospina, L; s.af

Bol. Asoc. Méd. P. R ; 99(1): 46-50, jan.-mar. 2007.

Article em En | LILACS | ID: lil-471878

Biblioteca responsável: BR1.1

ABSTRACT

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.

Assuntos

Humanos; Masculino; Idoso de 80 Anos ou mais; Bloqueio de Ramo/terapia; Marca-Passo Artificial; Corpos Estranhos/diagnóstico; Corpos Estranhos/terapia; Marca-Passo Artificial/efeitos adversos

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Coleções: 01-internacional Base de dados: LILACS Assunto principal: Marca-Passo Artificial / Bloqueio de Ramo Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Aged / Aged80 / Humans / Male Idioma: En Revista: Bol. Asoc. Méd. P. R Assunto da revista: MEDICINA Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Porto Rico País de publicação: Porto Rico

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