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Case Report|Articles in Press

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

Published:February 14, 2023DOI:https://doi.org/10.1016/j.jccase.2023.02.005
A rare case of sinus venosus atrial septal defect: Malpositioned right atrial pacemaker lead in the left atrium
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      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 Proof

      Identification

      DOI: https://doi.org/10.1016/j.jccase.2023.02.005

      Copyright

      © 2023 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

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