Pacemaker lead fracture

Case contributed by Jayanth Keshavamurthy
Diagnosis certain

Presentation

Follow up chest x-ray to evaluate pacemaker lead position.

Patient Data

Age: Adult
x-ray

Pre-exchange CXR: There is a fracture involving the insulation of the pacemaker lead.

x-ray

Post-exchange CXR: When it was replaced the tips of the two leads are in the right atrial appendage and right interventricular septum.

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