An unusual cause of stroke in a patient with permanent transvenous pacemaker.
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.
Ergun
Kumral
K
Department of Cardiology, Ankara Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey.
Tufekcioglu
Omac
O
Karabal
Orhan
O
Ozdogan
Ozgur U
OU
Deveci
Bulent
B
Golbasi
Zehra
Z
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*