Brief report: 2D-echo diagnosis of interventricular septal perforation by a temporary pacing electrode
Oneglia, C.; Simoncelli, U.
Minerva Cardioangiologica 41(12): 603-605
1993
ISSN/ISBN: 0026-4725 PMID: 8139782 Document Number: 417622
We report the case of an 83-year-old patient affected by hypertensive cardiopathy and admitted to our Division for left ventricular failure and complete atrioventricular block; a temporary electrode was inserted via the right internal jugular vein. A routine 2D-echo examination performed one day later clearly showed the catheter tip in the left ventricular cavity; the interventricular septal perforation was confirmed by the presence of right bundle branch block pattern on surface electrocardiogram. The following clinical course was totally event-free and the patient eventually underwent permanent pacing. A comparison with the few cases of pacing-related myocardial perforations so far described by the literature is made.