Abstract
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.
Keywords
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Article info
Publication history
Published online: February 14, 2023
Accepted:
January 13,
2023
Received in revised form:
December 31,
2022
Received:
May 9,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
