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Left ventricular pacemaker wire through patent foramen ovale


1 Department of Anesthesiology, Mount Sinai Medical Center, Miami, Florida, United States
2 Division of Cardiology at the Mount Sinai Heart Institute, Miami Beach, Miami, Florida, United States
3 Division of Cardiology at Mount Sinai Medical Center, Miami, Florida, United States

Correspondence Address:
Nicholas Suraci
Department of Anesthesiology, 430– Alton Road, Miami Beach, Florida 33140
United States
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_176_19

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Year : 2020  |  Volume : 23  |  Issue : 4  |  Page : 528-529

 

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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.






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1 Department of Anesthesiology, Mount Sinai Medical Center, Miami, Florida, United States
2 Division of Cardiology at the Mount Sinai Heart Institute, Miami Beach, Miami, Florida, United States
3 Division of Cardiology at Mount Sinai Medical Center, Miami, Florida, United States

Correspondence Address:
Nicholas Suraci
Department of Anesthesiology, 430– Alton Road, Miami Beach, Florida 33140
United States
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_176_19

Rights and Permissions

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.






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