What went wrong?

Image in interventional cardiovascular medicine: what is displayed on this image? ... And do not hesitate to comment on how you would treat this case!

Temporary pacemaker (TPI) lead was inserted through right femoral vein into right ventricle in 72-year-old male with complete heart block. Capture loss was noted on day 3. CT scan chest (Figure A, B), coronary angiogram (figure C) and thoracotomy (figure D) were done.

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Authors

Maskey A.¹, Koirala P.¹, Pandey R.¹, Malla S. B.¹, Shaha B.¹, Gyawali B.¹

1. Shahid Gangalal National Heart Centre (SGNHC), Kathmandu, NEPAL