Document Detail

Asymptomatic left ventricular malposition of a transvenous pacemaker lead through a sinus venosus defect: follow-up over 17 years.
MedLine Citation:
PMID:  1715075     Owner:  NLM     Status:  MEDLINE    
The case of a woman with an asymptomatic transvenous left ventricular endocardial pacemaker lead is presented. The chest X ray and the electrocardiogram suggested pacemaker catheter malposition. By two-dimensional echocardiography, the pacemaker lead was shown to cross from the left atrium through the mitral valve and implant in the left ventricular endocardium. The underlying sinus venosus defect and the passage of the electrode through this interatrial communication were directly visualized by transesophageal echocardiography. No thrombotic material attached to the lead was detected corresponding to the patient's uneventful course for surprisingly more than 17 years without evidence of past or present neurological deficiencies or of peripheral embolic phenomena. Thus, no operative correction was performed. Warfarin sodium therapy, however, was initiated.
F Van Erckelens; M Sigmund; H Lambertz; A Kreis; C Reupcke; P Hanrath
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  14     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-09-25     Completed Date:  1991-09-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  989-93     Citation Subset:  IM    
Medical Clinic I, RWTH Aachen, Germany.
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MeSH Terms
Bundle-Branch Block / etiology
Echocardiography / methods
Electrodes, Implanted*
Follow-Up Studies
Foreign-Body Migration / etiology*,  ultrasonography
Heart Block / therapy
Heart Septal Defects, Atrial / complications*,  ultrasonography
Heart Ventricles
Middle Aged
Pacemaker, Artificial*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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