Successful totally thoracoscopic management of a superior vena cava perforation with a pacemaker lead  Alexander Bogachev-Prokophiev, MD, Ravil Sharifulin,

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Successful totally thoracoscopic management of a superior vena cava perforation with a pacemaker lead  Alexander Bogachev-Prokophiev, MD, Ravil Sharifulin, MD, Dmitry Elesin, MD, Sergey Zheleznev, MD, Alexey Pivkin, MD, Alexander Karaskov, MD  HeartRhythm Case Reports  Volume 2, Issue 4, Pages 300-302 (July 2016) DOI: 10.1016/j.hrcr.2016.02.007 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 Computed tomographic 3-dimensional reconstruction scan showing the atrial lead migration into the right pleural cavity. LA = left anterior; RP = right posterior. HeartRhythm Case Reports 2016 2, 300-302DOI: (10.1016/j.hrcr.2016.02.007) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 Intraoperative photographs. A, B: Perforation of the extrapericardial part of the superior vena cava with pacemaker lead migration into the right pleural cavity. C: The suture placed around the vena cava perforation. HeartRhythm Case Reports 2016 2, 300-302DOI: (10.1016/j.hrcr.2016.02.007) Copyright © 2016 Heart Rhythm Society Terms and Conditions