Presentation
The patient was referred to check for a broken pacing lead.
Patient Data
Age: 70 years
From the case:
Twiddler syndrome
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Only the atrial lead is visible in a normal projection. The ventricular lead is seen curled up and projecting over the generator.
From the case:
Twiddler syndrome
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A previous examination a few month ago showed both leads in a normal projection.
Case Discussion
The referring physician asked the patient who admitted to regularly fiddle around with the generator.
The leads were then replaced surgically and the extravascular position of the ventricle lead was confirmed during the procedure.
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