Left ventricular pacemaker wire through patent foramen ovale

A 53-year-old male status post pacemaker placement three months prior for sinus bradycardia presented with worsening dyspnea, holosystolic murmur, and a ventricular-paced right bundle branch block on electrocardiogram. Transesophageal echocardiography demonstrated a pacer wire in the right atrium co...

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Bibliographic Details
Published inAnnals of cardiac anaesthesia Vol. 23; no. 4; pp. 528 - 529
Main Authors Suraci, Nicholas, Lo Presti, Saberio, Concepcion, Gilberto, Santana, Orlando
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.10.2020
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
Cardiac arrhythmia
Care and treatment
Case studies
Complications and side effects
Diagnosis
Dyspnea
Interesting Image
pacemaker lead
Pacemakers
Patent foramen ovale
Thoracic injuries
transesophageal echocardiography
Ultrasonic imaging
United States
Pacemaker lead
patent foramen ovale
transesophageal echocardiography
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Summary:A 53-year-old male status post pacemaker placement three months prior for sinus bradycardia presented with worsening dyspnea, holosystolic murmur, and a ventricular-paced right bundle branch block on electrocardiogram. Transesophageal echocardiography demonstrated a pacer wire in the right atrium coursing into the left atrium and ventricle through an undiagnosed patent foramen ovale. The patient underwent surgical repair and repositioning of the pacemaker lead without complication. Although rare, it should be suspected after recent lead placement.
ISSN:0971-9784
0974-5181
DOI:10.4103/aca.ACA_176_19