case_images: PMC11732274_01
case_images: Pre-procedural chest X-ray, posterior-anterior view. Two ventricular leads are located in the right ventricle; one of them remains unplugged and abandoned.
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case_images: PMC11732274_01_ytae695f1.jpg
case_images: ytae695-F1
case_images: During the pacemaker replacement, a new ventricular lead was inserted, while the previous ventricular lead was left abandoned (Figure 1).
case_images: Pacemaker lodge fistula in the left subclavian space.
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case_images: PMC11732274_01_ytae695f2.jpg
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case_images: Over a year later, the patient was urgently admitted to the hospital due to the emergence of a pacemaker pocket fistula (Figure 2).
case_images: The Byrd dilator sheath with the tip of the lead piercing a fragment of valvular tissue and adjacent papillary muscle tissue.
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case_images: PMC11732274_01_ytae695f3.jpg
case_images: ytae695-F3
case_images: Macroscopically, the tip of the lead was fused, piercing a fragment of the valvular leaflet (Figure 3).