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Figure 4 | Journal of Cardiothoracic Surgery

Figure 4

From: Successful management of multiple permanent pacemaker complications – infection, 13 year old silent lead perforation and exteriorisation following failed percutaneous extraction, superior vena cava obstruction, tricuspid valve endocarditis, pulmonary embolism and prosthetic tricuspid valve thrombosis

Figure 4

Intraoperative photograph showing the tip of a pacemaker lead lying outside the right atrium, surrounded by inflammatory granuloma and densely adherent to the undersurface of the sternum.

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