title: Unusual case of initial failure of pacemaker implantation.
abstract: Central venous obstruction sufficient to prevent primary pacemaker implantation is rare. We report on such a patient in whom removal of a very large retrosternal goitre led to subsequent procedural success.
authors.affiliation: Dorset Heart Centre, Royal Bournemouth Hospital, Bournemouth, Dorset BH7 7DW, UK.
authors.forename: Julian P
authors.initials: JP
authors.lastname: Boullin
authors.forename: Anthony
authors.initials: A
authors.lastname: Skene
authors.forename: Adrian
authors.initials: A
authors.lastname: Rozkovec
mesh_terms: D000369:Aged, 80 and over; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005260:Female; D006045:Goiter, Substernal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010138:Pacemaker, Artificial; D011475:Prosthesis Failure; D019919:Prosthesis Implantation; D011859:Radiography; D012804:Sick Sinus Syndrome / Q000628:therapy*; D013350:Subclavian Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D013575:Syncope / Q000628:therapy; D016896:Treatment Outcome; D014689:Venous Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*