Transvenous Permanent Left Ventricular Pacing

Author:

Wen Lieng Lee 1,Chi Woon Kong 1,Lee Shing Chu 2,Jer Young Liou 1,Min Ren Lin 1,Wan Leong Chan 1,Mau Song Chang 1

Affiliation:

1. Division of Cardiology, Department of Medicine, Veterans General Hospital

2. Department of Nuclear Medicine, Veterans General Hospital, Taipei, Taiwan, Republic of China

Abstract

This case report presents a patient who inadvertently received transvenous permanent left ventricular pacing through an unexpected atrial septal defect. This lead malpositioning was proved by two-dimensional and transesophageal echocardiography. The abnormal pattern of electric activation was demonstrated by radionuclide phase image analysis. He has been followed up for a total of forty-three months with antiplatelet therapy and has been free from systemic embolic phenomena. A simple and readily available method that could lead to early recognition of lead malpositioning is reiterated and the various causes, methods of detection, and prognosis of left ventricular pacing are discussed.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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