[Permanent epicardial pacemaker generator migration [a case report]]

Pace maker is used to compensate the difficulty in production of heart impulse. Migration of epicardial leads and abdominally placed generators, a very uncommon finding, is a potentially serious complication and has been associated with infection, diarrhea and stimulation of the surrounding structure. We report the case of a 55-year old woman who experienced abdominally migration of an epicardial pacing system after 3 years of implantation and discuss about predisposing factor and outcomes of complications finds in clinic

Incessant ventricular tachycardia acutely controlled with off-pump coronary artery bypass surgery and aneurysmal plication

There are many treatment modalities available to acutely terminate incessant ventricular tachycardia with variable success rates, but some cases tend to prove refractory to all of them. We report a 59-year-old woman presenting with incessant ventricular tachycardia. Echocardiography revealed a large true apical aneurysm and severe left ventricular dysfunction. The arrhythmia was controlled in the operating room after off-pump coronary artery bypass surgery and plication of the apical aneurysm