Permanent Pacemaker-Mediated Exertional Hypoxemia in a Patient With Ebstein Anomaly

Ashish H. Shah, MD; Nasir Shaikh, MD; Keivan Alizadeh, MD; Aliasgar Khadem, MD; Clarence Khoo, MD; Robin A. Ducas, MD; Malek Kass, MD

JACC: Case Reports (Apr 2024)

Permanent Pacemaker-Mediated Exertional Hypoxemia in a Patient With Ebstein Anomaly

Ashish H. Shah, MD,
Nasir Shaikh, MD,
Keivan Alizadeh, MD,
Aliasgar Khadem, MD,
Clarence Khoo, MD,
Robin A. Ducas, MD,
Malek Kass, MD

Affiliations

Ashish H. Shah, MD: Address for correspondence: Dr Ashish H. Shah, St Boniface Hospital, Y-3006, Winnipeg, Manitoba R2H 2A6, Canada.; Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
Nasir Shaikh, MD: Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
Keivan Alizadeh, MD: Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
Aliasgar Khadem, MD: Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
Clarence Khoo, MD: Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
Robin A. Ducas, MD: Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
Malek Kass, MD: Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

Journal volume & issue: Vol. 29, no. 7
p. 102283

Abstract

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Patients with Ebstein anomaly are known to have a higher incidence of interatrial communications and shunting of blood and its components through, mainly due to either streaming of tricuspid regurgitation or due to elevated right atrial pressure. Here we describe a case where permanent pacemaker lead kept a patent foramen ovale open leading to right-to-left shunting of blood and exertional hypoxemia. This is the first such case report in the published literature.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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