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Disrupted Pacemaker Left Ventricular Lead

Disrupted Pacemaker Left Ventricular Lead▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

A complete disruption of the coronary vein lead (left ventricular lead) is identified.

Key takeaways

This interesting case highlights the importance of meticulous examination, as the disruption was subtle and required careful zooming to identify. The LV lead had previously been noted to have 'failed' at an outside institution. Cardiologists subsequently recognized and addressed the disrupted lead during evaluation for new developments related to the RV lead.

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