The Electrocardiogram in Nonsystemic Ventricular Pacing in a Patient with Congenitally Corrected Transposition of the Great Arteries and Dextrocardia

2021 ◽  
Vol 4 (11) ◽  
pp. 01-05
Author(s):  
Roy Norris
Keyword(s):  
Right Bundle Branch Block ◽  
P Wave ◽  
Ventricular Pacing ◽  
Bundle Branch Block ◽  
High Incidence ◽  
Situs Solitus ◽  
Block Pattern ◽  
Congenitally Corrected Transposition ◽  
Third Degree Atrioventricular Block ◽  
Corrected Transposition

Congenitally corrected transposition of the great arteries (CCTGA) has a high incidence of dextrocardia and complete heart block. We describe a 34 year-old male with CCTGA, dextrocardia, and third degree atrioventricular block status-post dual chamber pacemaker that presented with acute heart failure syndrome. Cardiac CT Angiography confirmed CCTGA with situs solitus and dextrocardia. EKG with standard frontal leads showed a normal P wave axis and right-sided precordial leads showed a right bundle branch block pattern. With situs solitus there is a normal P wave axis on standard frontal leads. With nonsystemic ventricular pacing in CCTGA with dextrocardia left- and right-sided precordial leads show a left bundle branch block pattern and right bundle branch block pattern respectively. This case highlights electrocardiographic patterns seen with dextrocardia and morphologic reversal of ventricles. Subject Terms List: Dextrocardia, Electrocardiogram, Pacemaker, Transposition of the Great Arteries

scholarly journals Heart–lung transplant in congenitally corrected transposition of the great arteries and dextrocardia patient

2021 ◽  
Vol 9 ◽  
pp. 2050313X2098744
Author(s):  
Magdy M El-Sayed Ahmed ◽  
Mathew Thomas ◽  
Ian A Makey ◽  
Archer K Martin ◽  
David B Erasmus ◽  
...  
Keyword(s):  
Lung Transplant ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Ventricular Ejection Fraction ◽  
Heart Lung Transplant ◽  
Mitral Valves ◽  
Situs Solitus ◽  
Biventricular Failure ◽  
Congenitally Corrected Transposition ◽  
Corrected Transposition

A 53-year-old male patient was presented to our institution with the clinical picture of biventricular failure. The echocardiogram revealed congenitally corrected transposition of the great arteries, dextrocardia with situs solitus, atrioventricular discordance and ventriculoatrial discordance, severe systemic and mitral valves regurgitation, and severe pulmonary hypertension (mean pulmonary artery pressure: 51 mm Hg). He underwent heart–lung transplant. He was discharged on postoperative day 25 with left ventricular ejection fraction of 60%–65%, and with oxygen independency.

scholarly journals A rare complication of implantable cardiac defibrillator placement

2020 ◽  
Author(s):  
João Ferreira ◽  
Célia Marques Domingues ◽  
Susana Isabel Costa ◽  
Maria Fátima Franco Silva ◽  
Lino Manuel Martins Gonçalves
Keyword(s):  
Heart Failure ◽  
Right Bundle Branch Block ◽  
Left Ventricular Systolic Dysfunction ◽  
Rare Complication ◽  
Systolic Dysfunction ◽  
Lateral Wall ◽  
Left Ventricular ◽  
Refractory Ascites ◽  
Bundle Branch Block ◽  
Block Pattern

Abstract Background Implantable cardiac defibrillators (ICD) are a popular and effective option in heart failure with left ventricular systolic dysfunction patients. Although frequently underdiagnosed, inadvertent malposition can lead to endocardial damage and thrombotic events. As ICD implants tend to increase in the following years, the recognition of their complications is critical. Case presentation The authors present a case of a 64-year-old woman with advanced heart failure and ICD malposition. This accidental discovery was denounced by the presence of a right bundle branch block pattern and later confirmed by echocardiography which showed the lead tip in contact with the mid segment of the left ventricular antero-lateral wall. As the patient hospitalisation was complicated with refractory ascites and cardiogenic shock, she underwent cardiac transplantation, with no recurrence of heart failure symptoms. Conclusions An electrocardiogram showing a right bundle branch block pattern during VVI pacing should arise the suspicion of inadvertent placement of a pacing/ICD lead. The many facets of echocardiography should be used for the diagnosis of this complication, as they were paramount in this case, as highlighted.

Right Bundle Branch Block–Like Pattern During Ventricular Pacing: A Surface Electrocardiographic Mapping Technique to Locate the Ventricular Lead

2015 ◽  
Vol 31 (8) ◽  
pp. 1019-1024 ◽  
Author(s):  
Mohammed Almehairi ◽  
Andres Enriquez ◽  
Damian Redfearn ◽  
Kevin Michael ◽  
Hoshiar Abdollah ◽  
...  
Keyword(s):  
Right Bundle Branch Block ◽  
Mapping Technique ◽  
Ventricular Pacing ◽  
Bundle Branch Block ◽  
Ventricular Lead
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