Pacemaker Lead Malposition Detected in the Left Ventricle with Intraoperative TEE İntraoperatif TÖE ile Sol Ventrikülde Tespit Edilen Kalp Pili Lead Malpozisyonu
Anestezi Dergisi, cilt.33, sa.4, ss.322-325, 2025 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 4
- Basım Tarihi: 2025
- Doi Numarası: 10.54875/jarss.2025.93206
- Dergi Adı: Anestezi Dergisi
- Derginin Tarandığı İndeksler: Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.322-325
- Anahtar Kelimeler: Anestezi, Anesthesia, cardiovascular surgery, complication, kalp pili, kardiyovasküler cerrahi, komplikasyon, lead, lead, pacemaker, transesophageal echocardiography, transözofageal ekokardiyografi
- Gazi Üniversitesi Adresli: Evet
Özet
Pacemaker lead malposition is a rare event that can cause serious complications. Here, we report a case of intraoperatively detected pacemaker lead malposition in a 68-year-old patient scheduled for coronary artery bypass grafting (CABG) after acute coronary syndrome. A 68-year-old male underwent transvenous pacemaker placement after developing a complete arteriovenous block during coronary angiography. Transesophageal echocardiography (TEE) during the CABG procedure revealed a linear hyperechoic area extending into the left ventricle. The short-axis and apical images showed that the lead passed through the left atrium via the interatrial septum and then entered the left ventricle via the mitral valve. Since the malposition was an acute event, septal repair was performed together with the CABG. This case report demonstrates the importance of TEE in cardiac surgery. The rapid detection of a malpositioned pacemaker lead using TEE can avoid the potentially serious consequences of this rare complication.