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Asymptomatic left ventricular permanent pacemaker malposition detected on routine follow-up--a case report
J Kassotis1, N Mirhoseni, M Makan
1Department of Electrophysiologic Services, Clinical Affiliate of the New Presbyterian Hospital System, Brooklyn, NY 11215, USA. jtk747@aol.com
Angiology
|January 5, 2002
Summary
An asymptomatic left ventricular pacemaker lead malposition was found during routine echocardiography. This case highlights the importance of recognizing and managing this rare cardiac device complication.
Area of Science:
- Cardiology
- Medical Imaging
- Cardiac Electrophysiology
Background:
- Pacemaker lead placement is crucial for device function.
- Malposition can lead to complications and suboptimal therapy.
- Routine echocardiography aids in device assessment.
Observation:
- An asymptomatic patient presented with an incidentally discovered left ventricular pacemaker lead malposition.
- The malposition was identified during a standard 2-D echocardiography examination.
- No symptoms were reported by the patient prior to detection.
Findings:
- The study details a specific instance of left ventricular pacemaker lead malposition.
- Echocardiography proved effective in visualizing the anatomical anomaly.
- The asymptomatic nature of the malposition was a key observation.
Implications:
- Accurate diagnosis of lead malposition is essential for patient management.
- Understanding clinical implications guides therapeutic strategies.
- This case underscores the role of echocardiography in detecting cardiac device abnormalities.