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Tail of a pig: a small trick
  1. Goutam Datta
  1. Department of Cardiology, Burdwan Medical College, Calcutta, India
  1. Correspondence to Dr Goutam Datta, Department of Cardiology, Burdwan Medical College, P3 Lake Gardens Govt. Housing, 48/4 Sultan Alam Road, Calcutta 33, India; goutamdattadn{at}

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Case report

A 48-year-old woman presented with recurrent syncope. She had a modified radical mastectomy for breast cancer on the right side. ECG revealed a complete heart block. Permanent pacing was planned from the left side. We saw an unusual course of the pacing lead (figure 1 and online supplementary video). A venogram showed the left-sided superior vena cava (SVC) draining into the right atrium. It was difficult to negotiate the lead from the right atrium to the right ventricle. We made a 360° loop of the stylet like the tail of a pig. The pacing lead then entered the right ventricle easily. The patient has been …

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