A 65-year-old man with a dual-chamber pacemaker placed for sick sinus syndrome (SSS) had 2 strokes attributed to inadvertent left ventricular pacemaker lead placement. In this video, a subcostal four-chamber view from a transthoracic echocardiogram (TTE) zoomed in to the interatrial septum, left to right flow (red-orange jet) through an atrial septal defect (ASD) demonstrates how the lead entered the left ventricle (LV) and became a focus for clot with embolism. See for an additional TTE video demonstrating the unintended LV lead placement and see for full case details.
transthoracic echocardiogram,interatrial septum,four-chamber view,atrial septal defect,pacemaker,Stroke,Neurology,Emergency Medicine,Medicine,Health,Geriatrics,FOAMed,Arrhythmia,Cardiology,Medical Error,Health Care Safety,
A 65-year-old man with a dual-chamber pacemaker placed for sick sinus syndrome (SSS) had 2 strokes attributed to inadvertent left ventricular pacemaker lead placement. In this video, a subcostal four-chamber view from a transthoracic echocardiogram (TTE) zoomed in to the interatrial septum, left to right flow (red-orange jet) through an atrial septal defect (ASD) demonstrates how the lead entered the left ventricle (LV) and became a focus for clot with embolism. See for an additional TTE video demonstrating the unintended LV lead placement and see for full case details.
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