PMC2822314_01
(A) Transthoracic echocardiogram, apical four-chamber view. A pacemaker lead with attached hyperechoic materials is seen in the right ventricle. (B) Transesophageal echocardiogram. A hyperechoic mass with a stalk is freely movable in the right ventricular outflow tract.
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Trans-thoracic echocardiogram (TTE) (Fig. 1A) and trans-esophageal echocardiogram (TEE) (Fig. 1B) identified the pacemaker lead in the right ventricle (RV) attaching hyperechoic materials and also a fluttering round hyperechoic mass with a stalk in the RV outflow tract (RVOT).
The removed electrode. It was destroyed and attached with yellow-brown friable materials.
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