Key result
A pacemaker lead unintentionally mal-positioned in the left ventricle through a patent foramen ovale was incidentally discovered after seven years of pacing.
Population
A single patient with a pacemaker lead mal-positioned in the left ventricle through a patent foramen ovale
Design
Case_report
Follow-up
7 years
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RBBB on ECG in paced patients warrants consideration of LV lead malposition; this case leaves open long-term management implications.
Case Report (n=1)
Highlights the importance of investigating a Right Bundle Branch Block (RBBB) pattern on ECG in paced patients to rule out rare but potentially thromboembolic lead mal-positioning in the left ventricle.
A 2010 study conducted a case report in Pacemaker lead mal-positioning in the left ventricle (n=1). Left ventricle pacing due to lead mal-positioning through a patent foramen ovale was evaluated. A pacemaker lead unintentionally mal-positioned in the left ventricle through a patent foramen ovale was incidentally discovered after seven years of pacing.
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