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Due to the extremely high level of d ‐dimer (40 560 ng/mL FEU) on 19th day of illness (Table 1 ), PE was suspected, and computed tomography pulmonary angiography (CTPA) was performed. PE was not detected. However, a large 4.1 × 2.0 cm. thrombus was seen in the left ventricle (Figure 1A ).
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The common features of this implantation technique are shown in Figure 1 and summarized as follows: (1) transvenous access; (2) transseptal placement of the pacing lead into the LV septal subendocardium in the LBB region; and (3) confirmation of capture of the LBB.
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