Figure legend
Preoperative chest x-ray (A ) and cardiac computed tomography (B ) demonstrated a course of the lead anteriorly to the left clavicle with a subcutaneous course and through the left internal jugular vein. Evolution Shortie RL 11F sheath (C andD ) and Evolution RL 11F (E ) sheath through the jugular vein were used for removed the lead. The extracted lead (F ). LIJV=left internal jugular vein.