The Danger of Coronary Artery Compression in Children Is More Common Than We Think (IMAGE)
Caption
Images of the different imaging techniques used to diagnose one of the patients who displayed symptoms. Chest x-ray in the posterioranterior (A) and lateral (B) projections, showing the classic pattern of cardiac strangulation from epicardial leads, as the ICD lead courses leftward and posterior around the heart. Computed topography (C) shows the ICD lead constricting the left ventricle and obtuse marginal branch of the circumflex artery. Catheter angiography (D) shows loss of contrast within the obtuse marginal branch as it courses below the ICD lead.
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HeartRhythm
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