PMC5412609_01
PMC5412609_02
PMC5412609_03
PMC5412609_04
PMC5412609_05
PMC5412609_06
Chest radiograph of case 6, with lead position from 2 intracardiac leads suggestive of interaction with valve leaflets (she also had an abandoned lead from an abdominal system seen on the images).
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The chest radiograph suggested that the 2 leads were at opposite sides of the tricuspid annulus, possibly "spreading" the leaflets apart (Figure 1).