Abstract
A 52-year-old Argentinian woman presented with third-degree AV block due to seropositive chronic stage of Chagas' disease. Subsequently, a DDD pacemaker was implanted. Interestingly, a postoperative chest X ray suggested left ventricular lead misplacement, an ECG showed a paced RBBB. Echocardiography confirmed suspected lead malposition in the left ventricle with perforation of a large aneurysm of the interatrial septum that might be related to Chagas' disease. The ventricular lead was successfully repositioned in the right ventricle. Therefore, to avoid lead malposition in Chagas' disease structural cardiac defects should always be ruled out before operation. If a paced RBBB indicates malposition, different fluoroscopic projections should be used to verify lead position.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
