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9. 'Spear' through the right ventricle: pericardial tamponade caused by delayed pacemaker lead-related perforation of a normal thickness free wall which was managed percutaneously using the same lead.

11. Porcelain aorta with critical left main disease and severe aortic stenosis in a patient with heterozygous familial hyperlipidaemia presenting with cardiogenic shock.

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