A true case of wandering pacemaker

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A true case of wandering pacemaker Jared Oyama, MD, Michael Mazar, MD, Jason S. Bradfield, MD, FHRS HeartRhythm Case Reports Volume 1, Issue 4, Pages 180-181 (July 2015) DOI: 10.1016/j.hrcr.2015.01.020 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 Chest radiograph demonstrates an orphaned right ventricular lead with separation of the outer and inner conductors at the level of the right atrium. Inset: The inner conductor (arrows) extends beyond the inferior cardiac border and terminates beneath the diaphragm. HeartRhythm Case Reports 2015 1, 180-181DOI: (10.1016/j.hrcr.2015.01.020) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 A: Computed tomography of the chest with multiplanar reconstruction demonstrates perforation by the inner conductor of the right ventricular lead, which terminates in the peritoneal cavity. B: Axial images demonstrate the perforating lead’s subdiaphragmatic course (arrows) adjacent to the liver, terminating adjacent to the lesser curvature of the stomach. HeartRhythm Case Reports 2015 1, 180-181DOI: (10.1016/j.hrcr.2015.01.020) Copyright © 2015 Heart Rhythm Society Terms and Conditions