PMC5733900_01
A chest X-ray of the patient on presentation revealing the right ventricular lead overlying the left.
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fig1
Chest X-ray showed mild left pleural effusion, and the right ventricular pacemaker lead was found to be overlying the left heart margin, raising the possibility of perforation (Figure 1).
CT scan showing the tip of the right ventricular lead penetrating the anterior wall of the right.
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fig2
There was also a 2 x 5.8 cm epicardial hematoma surrounding the tip of the lead (Figure 2).