title: An unusual cause of stroke in a patient with permanent transvenous pacemaker.
abstract: We report the case of a 61-year-old man with a stroke secondary to cerebral embolism resulting from inadvertent malposition of a permanent transvenous pacemaker lead in the left ventricle. An electrocardiogram and chest X-ray were suggestive of a left-sided positioned lead which was confirmed by transthoracic echocardiography. Because this malposition was complicated with a cerebrovascular event, transcatheter lead extraction was planned, however, the patient chose lifelong anticoagulation therapy.
authors.affiliation: Department of Cardiology, Ankara Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey.
authors.forename: Kumral
authors.initials: K
authors.lastname: Ergun
authors.forename: Omac
authors.initials: O
authors.lastname: Tufekcioglu
authors.forename: Orhan
authors.initials: O
authors.lastname: Karabal
authors.forename: Ozgur U
authors.initials: OU
authors.lastname: Ozdogan
authors.forename: Bulent
authors.initials: B
authors.lastname: Deveci
authors.forename: Zehra
authors.initials: Z
authors.lastname: Golbasi
mesh_terms: D002037:Bundle-Branch Block / Q000175:diagnosis / Q000209:etiology; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004868:Equipment Failure; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D020521:Stroke / Q000188:drug therapy / Q000209:etiology*