Long-term left ventricular pacing.
A 57-year-old female was implanted with a Biotronik Pikos VVI pulse generator. During her follow-up period right bundle-branch block was observed. Therefore further posteroanterior and lateral chest X-ray and echocardiography were performed. Only the transoesophageal echocardiography showed exactly the abnormal pathway of the electrode through the foramen ovale apertum to the left side of the heart. Abnormal electrode position can create serious complications, however, our patient remained free of symptoms throughout her 5 year follow-up.
Bõhm
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2nd Department of Medicine, Faculty of Health Sciences, Semmelweiss University, Budapest, Hungary. bohm@fremail.hu
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D002037:Bundle-Branch Block / Q000628:therapy; D002304:Cardiac Pacing, Artificial; D005260:Female; D006352:Heart Ventricles; D006801:Humans; D008875:Middle Aged; D013997:Time Factors