Giant Interventricular Septal Hematoma Complicating Left Bundle Branch Pacing

Rohan Trivedi, DO; Eileen Rattigan, MD; Terry D. Bauch, MD; Vernon Mascarenhas, MD; Tariq Ahmad, MD; Faiz A. Subzposh, MD; Pugazhendhi Vijayaraman, MD

JACC: Case Reports (Jun 2023)

Giant Interventricular Septal Hematoma Complicating Left Bundle Branch Pacing

Rohan Trivedi, DO,
Eileen Rattigan, MD,
Terry D. Bauch, MD,
Vernon Mascarenhas, MD,
Tariq Ahmad, MD,
Faiz A. Subzposh, MD,
Pugazhendhi Vijayaraman, MD

Affiliations

Rohan Trivedi, DO: Geisinger Heart Institute, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA
Eileen Rattigan, MD: Geisinger Heart Institute, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA
Terry D. Bauch, MD: Geisinger Heart Institute, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA
Vernon Mascarenhas, MD: Geisinger Heart Institute, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA
Tariq Ahmad, MD: Geisinger Heart Institute, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA
Faiz A. Subzposh, MD: Geisinger Heart Institute, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA
Pugazhendhi Vijayaraman, MD: Address for correspondence: Dr. Pugazhendhi Vijayaraman, Geisinger Commonwealth School of Medicine, Geisinger Heart Institute, Geisinger Wyoming Valley Medical Center, MC 36-10, 1000 E Mountain Blvd, Wilkes-Barre, Pennsylvania 18711, USA.; Geisinger Heart Institute, Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA

Journal volume & issue: Vol. 16
p. 101887

Abstract

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An 88-year-old woman underwent atrioventricular node ablation and left bundle branch pacing for atrial fibrillation. She presented to the emergency room several hours after discharge with dyspnea. An echocardiogram revealed a giant interventricular septal hematoma. The patient was successfully treated with conservative medical therapy, with eventual complete resolution of the hematoma. (Level of Difficulty: Intermediate.)

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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Abstract

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