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Türk Kardiyol Dern Arş - Arch Turk Soc Cardiol 2013;41(7):667 doi: 10.5543/tkda.2013.18828 667

An unusual cause of implantable cardioverter defibrillator malfunction:

Twiddler syndrome

Yerleştirilebilir kardiyoverter defibrilatör arızasının nadir bir nedeni: Twiddler sendromu

Ufuk Eryılmaz Hasan Güngör Çağdaş Akgüllü

Department of Cardiology,

Adnan Menderes University Faculty of Medicine, Aydın

A 60-year-old man with isch-emic cardiomyopathy received a single-chamber implantable car-dioverter defibrillator (ICD) af-ter cardiac arrest. Approximately one month after implantation, the patient was referred to the emer-gency room with pectoral muscle stimulation. Chest radiography showed the ventricular lead encir-cling the generator (Figure). He was discharged from the hospi-tal after pocket revision and new

ICD lead implantation. Figure– Ventricular lead encircling the generator.

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