title: An unusual complication after permanent pacemaker implantation: Methemoglobinemia.
abstract: Permanent pacemaker implantation (PPI) is usually a very safe procedure with a low complication risk. It is a relatively straightforward process carried out under local anesthetic. This case report presents an 80-year-old male patient who required a permanent pacemaker due to complete atrioventricular (AV) block, and who developed cyanosis and was diagnosed with methemoglobinemia after the pacemaker insertion procedure, in which the local anesthetic prilocaine was administered. To our knowledge, this is the first case in the literature to describe methemoglobinemia developing after PPI.
authors.affiliation: Department of Cardiology, Atatürk Training and Research Hospital, Ankara, Turkey. cengaver61@yahoo.com.
authors.forename: Cenk
authors.initials: C
authors.lastname: Sarı
authors.affiliation: Department of Cardiology, Atatürk Training and Research Hospital, Ankara, Turkey.
authors.forename: Abdullah Nabi
authors.initials: AN
authors.lastname: Aslan
authors.affiliation: Department of Cardiology, Atatürk Training and Research Hospital, Ankara, Turkey.
authors.forename: Serdal
authors.initials: S
authors.lastname: Baştuğ
authors.affiliation: Department of Cardiology, Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey.
authors.forename: Nihal Akar
authors.initials: NA
authors.lastname: Bayram
mesh_terms: D000369:Aged, 80 and over; D003490:Cyanosis / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008708:Methemoglobinemia / Q000209:etiology* / Q000503:physiopathology; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011183:Postoperative Complications / Q000503:physiopathology; D019919:Prosthesis Implantation / Q000009:adverse effects*