volume 28, issue 1, P51-51 2019
DOI: 10.1007/s12471-019-01320-0
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L. M. van den Broek,
S. W. Westra,
R. Evertz
et al.

Abstract: A 48-year-old male was brought to our Emergency Department after a car accident due to syncope. His medical history included paroxysmal atrial fibrillation and a bicuspid aortic valve requiring aortic valve replacement with a mechanical prosthesis. At presentation, the electrocardiogram showed a new third-degree atrioventricular block. It was decided to implant a dual-chamber pacemaker, but the procedure was more challenging than expected. Fig. 1 shows the position of the leads at the end of the procedure.

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