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‘Size it and Fix it’: Pulsatile Abdomen and Presyncope Post Pacemaker Implantation

Sriram Veeraraghavan, MD, DM; Bharath Raj Kidambi, MD; Vasundhara Ponnaganti, MD

Video file
Video. Forceful pulsatile movements on the abdomen due to right phrenic nerve stimulation by the displaced lead at SVC-RA junction

Video Supplement to "‘Size it and Fix it’: Pulsatile Abdomen and Presyncope Post Pacemaker Implantation" (October 2023 Clinical Image)

A 69-year-old obese man who had undergone permanent pacemaker implantation (VVIR, Medtronic) 3 weeks prior presented with a one-day history of experiencing continued, forceful pulsations in his abdomen followed by presyncope.

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Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of The Journal of Invasive Cardiology or HMP Global, their employees, and affiliates. 

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