Cardiac strangulation is a rare phenomenon in children following epicardial pacemaker implantation. caused by compression of the heart and great vessels by the epicardial pacemaker wires. We report a rare case of cardiac strangulation presenting after 8 years of epicardial pacemaker implantation. On routine follow-up. https://www.spidertattooz.com/Horse-Painting-3-Piece-HD-Multi-Panel-Canvas-Wall-Art-Frame/