[Skip to Content]
[Skip to Content Landing]

Pacemaker Wire Traversing an Atrial Septal Defect into the Left Ventricle

A 65-year-old man with a dual-chamber pacemaker placed for sick sinus syndrome had 2 subsequent strokes attributed to inadvertent left ventricular pacemaker lead placement. This apical 4-chamber view from a transthoracic echocardiography demonstrates traversal of the lead across the interatrial septum. The patient was anticoagulated with warfarin to an international normalized ratio of 2.5 to 3.5 with no further embolic events. Click the related article link for an additional transthoracic echocardiography video demonstrating left-to-right shunt through the septum and for full case details.

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 CME Credit™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close

My Saved Courses

You currently have no courses saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close