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A 51-year-old gentleman with tetralogy of Fallot underwent pulmonary valve replacement and tricuspid valve annuloplasty necessitating endocardial pacing system extraction so that the annuloplasty ring could be sited. During the same operation, an epicardial pacing system was implanted with the generator positioned subcutaneously in an epigastric position.
Six months later, the box was moved to the left iliac fossa because of …
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