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Question AQ 002

Based upon the echocardiogram and the patient's clinical picture, which one of the following would be the LEAST desirable means of managing the patient:

A Intravenous or catheter-delivered thrombolytic therapy
B Surgical exploration with removal of the mass and the pacemaker leads
C Antibiotic therapy
D Removal of the pacemaker lead using a less invasive percutaneous approach
E Intravenous heparin followed by chronic warfarin therapy

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