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

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 lea...

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Main Authors: Ashish H. Shah, MD, Nasir Shaikh, MD, Keivan Alizadeh, MD, Aliasgar Khadem, MD, Clarence Khoo, MD, Robin A. Ducas, MD, Malek Kass, MD
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:JACC: Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084924000640
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author Ashish H. Shah, MD
Nasir Shaikh, MD
Keivan Alizadeh, MD
Aliasgar Khadem, MD
Clarence Khoo, MD
Robin A. Ducas, MD
Malek Kass, MD
author_facet Ashish H. Shah, MD
Nasir Shaikh, MD
Keivan Alizadeh, MD
Aliasgar Khadem, MD
Clarence Khoo, MD
Robin A. Ducas, MD
Malek Kass, MD
author_sort Ashish H. Shah, MD
collection DOAJ
description 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.
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spelling doaj.art-402f24c49eae4fc7b29e43352052a0402024-03-02T04:54:55ZengElsevierJACC: Case Reports2666-08492024-04-01297102283Permanent Pacemaker-Mediated Exertional Hypoxemia in a Patient With Ebstein AnomalyAshish H. Shah, MD0Nasir Shaikh, MD1Keivan Alizadeh, MD2Aliasgar Khadem, MD3Clarence Khoo, MD4Robin A. Ducas, MD5Malek Kass, MD6Address 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, CanadaSection of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaSection of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaSection of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaSection of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaSection of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaSection of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, CanadaPatients 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.http://www.sciencedirect.com/science/article/pii/S2666084924000640
spellingShingle Ashish H. Shah, MD
Nasir Shaikh, MD
Keivan Alizadeh, MD
Aliasgar Khadem, MD
Clarence Khoo, MD
Robin A. Ducas, MD
Malek Kass, MD
Permanent Pacemaker-Mediated Exertional Hypoxemia in a Patient With Ebstein Anomaly
JACC: Case Reports
title Permanent Pacemaker-Mediated Exertional Hypoxemia in a Patient With Ebstein Anomaly
title_full Permanent Pacemaker-Mediated Exertional Hypoxemia in a Patient With Ebstein Anomaly
title_fullStr Permanent Pacemaker-Mediated Exertional Hypoxemia in a Patient With Ebstein Anomaly
title_full_unstemmed Permanent Pacemaker-Mediated Exertional Hypoxemia in a Patient With Ebstein Anomaly
title_short Permanent Pacemaker-Mediated Exertional Hypoxemia in a Patient With Ebstein Anomaly
title_sort permanent pacemaker mediated exertional hypoxemia in a patient with ebstein anomaly
url http://www.sciencedirect.com/science/article/pii/S2666084924000640
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