| Literature DB >> 26432733 |
Ravi R Bajaj1, Neil Fam2, Sheldon M Singh3.
Abstract
We present a case of a 73-year-old patient with acute left-sided hemiparesis four months after right ventricular pacemaker insertion. Post-procedural electrocardiogram revealed a paced RBBB complex and an abnormal lead path on chest X-ray. Subsequent echocardiography and computed tomography showed left ventricular pacemaker malposition with retrograde passage to the punctured subclavian artery. We also discuss the utility of routine cardiac investigations post-insertion to identify signal lead malposition as well as management strategies once identified. CrownEntities:
Keywords: Artificial; Bundle-branch block; Pacemaker; Post-operative complications; Stroke
Mesh:
Year: 2015 PMID: 26432733 PMCID: PMC4593799 DOI: 10.1016/j.ihj.2015.05.018
Source DB: PubMed Journal: Indian Heart J ISSN: 0019-4832