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A true case of wandering pacemaker

Published bySusanti Verawati Halim Modified over 5 years ago

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1 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 (July 2015) DOI: /j.hrcr Copyright © 2015 Heart Rhythm Society Terms and Conditions

2 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, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

3 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, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

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