PMC9259234_01
(a) Chest radiography with implanted pacemaker, (b) transesophagal echography, (c) MRI cerebral showed the emboli, and (d) chest radiography with external pacemaker.
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Moreover, he benefitted, two years ago, from a dual chamber St Jude Assarity Magnetic Resonance Imaging (MRI) PM placement for an auriculoventricular block of 2 : 1, with leads placed in the right heart via the left jugular vein in the right atrium and right ventricle, respectively (Figure 1(a)). A cerebral MRI was performed and showed multiple ischemic lesions with embolic features (Figure 1(c)). The pacemaker box and its leads were removed on the 10th day and a temporary external pacemaker was placed (Figure 1(d)).
Time line of clinical course, diagnostics, interventions, and outcomes. BC: blood culture, TEE: transoesophageal echography, MRI: magnetic resonance imaging, and VAP: ventilator-associated pneumonia.
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The timeline of clinical course, diagnostics, interventions and outcome are shown in Figure 2.