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1 Department of Medicine, New England Medical Center Hospitals, and the Tufts School of Medicine, Boston, Massachusetts
2 Director, Adult Cardiac Catheterization Laboratory, New England Medical Center Hospitals; Assistant Professor of Medicine, Tufts University School of Medicine
3 Chief, Adult Cardiology Service, New England Medical Center Hospitals, and Professor of Medicine, Tufts University School of Medicine
We report a patient who developed acute mitral valve papillary muscle rupture following removal of an infected permanent transvenous electrode. Of additional interest is the fact that the patient was paced from the left ventricle for 20 months after the catheter electrode had passed through a patent foramen ovale at the time of insertion.
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