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Inadvertent positioning of pacemaker leads in the pericardium
Authors:Berenji Kambeez  Nerheim Pamela  Olshansky Brian
Affiliation:Department of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Abstract:A patient had a dual chamber pacemaker with endocardial leads implanted chronically. The lead position on chest X ray and the ECG pattern indicated lead malposition, but a CT scan and transesophageal echocardiography were nondiagnostic. Venography indicated that both leads were in the mediastinal and pericardial space.
Keywords:pacemakers    lead malposition    pericardium    venogram
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