Abstract
Transvenous right ventricular pacing usually shows a left bundle branch block (LBBB) pattern. When right bundle branch block (RBBB) pattern appears after the insertion of an electrode, perforation or malposition of the pacing lead usually occurs. However, when the pacing lead that is inserted into the coronary sinus or right ventricle extends to right ventricle septum, RBBB pattern may appear. Echocardiography, due to inadequate echo images or reflections, may result in early clinical misdiagnosis since it cannot be evaluated well. Another reason for the errors in diagnosis is that cardiologists generally relegate telegraphy evaluations to a second plan. Here, we present a case of pacemaker malposition, which was diagnosed using X-ray radiography after multiple failed evaluations with echocardiography.
Key words: Peacemaker malposition, cerebrovascular event, delayed diagnosis
References
- Engstrom A, Holmberg B, Mansson A, et al. Inadvertent malposition of a transvenous pacing lead in the left ventricle.
- Herzschrittmacherther Elektrophysiol 2006;17:221–224.
- Vanhercke D, Heytens W, Verloove H. Eight years of left
- ventricle pacing due to inadvertent malposition of a transvenous pacemaker lead in the left ventricle. Eur J Echocardiogr 2008;9:825-7. doi: 10.1093/ejechocard/jen187.
- Meyer JA, Millar K. Malplacement of pacemaker catheters into the coronary sinus. J Thorac Cardiovasc Surg
- :511;1969.
- Ghani M, Thakur RK, Boughner D, et al. Malposition
- of transvenous pacing lead in the left ventricle. PACE
- :1800;1993.
- Kumral E, Omac T, Orhan K, et al. An unusual cause of
- stroke in a patient with permanent transvenous pacemaker.
- Jpn Heart J 2004;45:873-875.
- Islam MN1, Kuddus R, Chowdhury NS, et al. Radiologic
- evaluation of hyperacute brain infarction: A review. Mymensingh Med J 2014;23:621-635
Abstract
Sağventrikül Pace maker yerleştirilmesi ile EKG de sol dal bloğu (LBBB) tablosu gözükür, Pace lead’inin yanlış yerleşimi veya perforasyonunda EKG de sağ dal bloğu tablosu görülür. Buna rağmen bazen Pace maker lead’inin koroner sinüse yerleşmesi veya sağventrikül septumuna yönelmeside EKG de RBB tablosuna neden olabilir. Ekokardiografik incelemelerde, yetersiz eko görüntüleri veya eko yansımaları nedeniyle hatalı değerlendirmelere neden olarak yanlış tanılar konulabilmektedir. Yanlış tanı konulmasında bir diğer önemli neden kardiologların TELE değerlendirmelerini genellikle ikinci plana itmeleri, ihmal etmeleridir. Bu vakamızda birçok değerlendirme ve Ekokardiografi ile atlanmış, TELE grafi ile tanı konulmuş yanlış yerleşimli Pace maker olgusunu sunduk
References
- Engstrom A, Holmberg B, Mansson A, et al. Inadvertent malposition of a transvenous pacing lead in the left ventricle.
- Herzschrittmacherther Elektrophysiol 2006;17:221–224.
- Vanhercke D, Heytens W, Verloove H. Eight years of left
- ventricle pacing due to inadvertent malposition of a transvenous pacemaker lead in the left ventricle. Eur J Echocardiogr 2008;9:825-7. doi: 10.1093/ejechocard/jen187.
- Meyer JA, Millar K. Malplacement of pacemaker catheters into the coronary sinus. J Thorac Cardiovasc Surg
- :511;1969.
- Ghani M, Thakur RK, Boughner D, et al. Malposition
- of transvenous pacing lead in the left ventricle. PACE
- :1800;1993.
- Kumral E, Omac T, Orhan K, et al. An unusual cause of
- stroke in a patient with permanent transvenous pacemaker.
- Jpn Heart J 2004;45:873-875.
- Islam MN1, Kuddus R, Chowdhury NS, et al. Radiologic
- evaluation of hyperacute brain infarction: A review. Mymensingh Med J 2014;23:621-635
Details
| Primary Language | English |
|---|---|
| Journal Section | Research Articles |
| Authors | |
| Publication Date | July 9, 2015 |
| Submission Date | July 9, 2015 |
| Published in Issue | Year 2015 Volume: 42 Issue: 2 |