Previously termed “Green Crystals of Death,” bright blue‐green inclusion bodies within neutrophils are a rare clinical finding. They have been reported as a predictive sign of mortality in critically ill patients and often accompany acute liver failure, lactic acidosis with multisystem organ failure, or septic shock due to
Escherichia coli
.
We present a challenging case of a 75-year-old female with a history of paroxysmal atrial fibrillation (PAF) and symptomatic sick sinus syndrome (SSS) who presented for a dual chamber pacemaker implantation and was found to have persistent left superior vena cava and absent right superior vena cava with stenosis of the left subclavian vein. In this report, we discuss the implant technique in this group of patients.
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