A rare case of sinus venosus atrial septal defect: Malpositioned right atrial pacemaker lead in the left atrium

Incidental discovery of sinus venosus atrial septal defect (SV-ASD) in the elderly is rare. This defect allows for lead malpositioning during pacemaker placement and can lead to catastrophic cardioembolic events. Post-pacemaker implantation, chest radiography should be obtained to detect malposition...

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Bibliographic Details
Published in:	Journal of cardiology cases Vol. 27; no. 5; pp. 203 - 206
Main Authors:	Patel, Himax, Barmore, Walker
Format:	Journal Article
Language:	English
Published:	Japan Elsevier Ltd 01-05-2023 Japanese College of Cardiology
Subjects:	Case Report Malposition Pacemaker Sinus venosus atrial septal defect SV-ASD Sinus venosus atrial septal defect SV-ASD Pacemaker Malposition
Online Access:	Get full text
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Summary:	Incidental discovery of sinus venosus atrial septal defect (SV-ASD) in the elderly is rare. This defect allows for lead malpositioning during pacemaker placement and can lead to catastrophic cardioembolic events. Post-pacemaker implantation, chest radiography should be obtained to detect malpositioning early, and if detected, lead adjustment is recommended; if identified later, treatment with an anticoagulant is feasible. SV-ASD repair may be considered as well.
ISSN:	1878-5409 1878-5409
DOI:	10.1016/j.jccase.2023.02.005