Giant Interventricular Septal Hematoma Complicating Left Bundle Branch Pacing
Rohan Trivedi, Eileen Rattigan, Terry D. Bauch, Vernon Mascarenhas, Tariq Ahmad, Faiz A. Subzposh, Pugazhendhi Vijayaraman
Abstract
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.)
Topics & Concepts
MedicineHematomaCardiologyInternal medicineLeft bundle branch blockAtrial fibrillationSurgeryHeart failureCardiac Structural Anomalies and RepairMechanical Circulatory Support DevicesAtrial Fibrillation Management and Outcomes