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Jain R et al. - A 62-year-old man developed pleuritic chest pain, fever, chills, and diaphoresis 3 days after radiofrequency ablation for atrial flutter. He had a history of nonischemic cardiomyopathy and had a biventricular pacemaker-implantable cardiac defibrillator placed 7 months earlier. Within 24 h of the first fever, multiple sets of blood cultures were positive for Staphylococcal aureus. A transthoracic echocardiogram did not demonstrate any vegetations on the valves or pacemaker leads. A transesophageal echocardiogram (TEE) with real-time 3-dimensional imaging using a matrix array transducer was performed.

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