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Case Presentation An 83 year-old male with a past medical history significant for hypertension, hyperlipidemia, and prostate cancer status post prostate brachytherapy seed implantation was brought to the Cardiac catheterization lab for an elective catheterization for further evaluation of a recent stress test revealing antero-apical ischemia with an ejection fraction of 49%. The Cardiac catheterization films are shown below (Figures 1 and 2).

An unusual location for prostate brachytherapy seeds