Hellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē
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We report on a case where a temporary pacing wire that was inserted through the left internal jugular vein was subsequently noted to follow an unusual course on the chest radiograph. A 12-lead electrocardiogram showed right bundle branch block pattern during pacing, suggesting that the lead was pacing the left ventricle. Computed tomography of the chest demonstrated that the likely path of the pacing wire was through an anomalous vein that originated from the left subclavian vein and drained into the left atrium. The importance of paying careful attention to the chest radiograph and electrocardiogram after transvenous pacing are discussed.
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Case Reports
Cardiac autotransplantation for aortic and mitral valve replacement in a patient with nephrogenic systemic fibrosis.
Adequate exposure is a prerequisite for open valve surgery. The mitral valve can rarely be very challenging to expose. We describe a redo double valve replacement in a patient with nephrogenic systemic fibrosis in whom exposure of the mitral valve was achieved with cardiac autotransplantation.