An unusual travel of an endocardial pacing lead to the left ventricle.
A 80-year-old lady was admitted because of dyspnea, complete AV block and ventricular rate of 15 bpm. A DDDR pacemaker was successfully implanted. Postoperative EKG showed right bundle branch block and X-ray the ventricular lead in the left ventricle. It traveled all the way through a foramen ovale being later relocated in the right apex.
Ninot
Salvador
S
Department of Cardiovascular Surgery, Hospital Clínic, University of Barcelona, Villarroel 170, 08036 Barcelona, Spain. sninot@clinic.ub.es
Sánchez
Gemma
G
Mestres
Carlos-A
CA