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A 62-year-old male was referred to our hospital with the diagnosis of an unclear intracardiac structure. He underwent heart transplantation in March 2012 due to ischaemic cardiomyopathy. Progressing osteoporosis, which has been developed in the setting of immobilization and steroid therapy, caused the fractures of L1–3 which were stabilized by percutaneous vertebroplasty.The transthoracic echocardiography performed on admission ( Panel A , see Supplementary data online, Video S1 ) revealed an electrode-like, echo-dens structure in the right ventricle yielding to the apex. Transoesophageal echocardiography ( Panel B , see Supplementary data …

Uncommon intracardiac finding after cardiac transplantation mimicking pacemaker leads