ABSTRACT

A 56-year-old man with history of coronary bypass 6 years ago and ICD implantation 5 months ago was admitted to hospital after hearing a beeping from the ICD. On chest x-ray, the tip of the lead had migrated out of the heart silhouette. Percutaneous lead extraction was performed under close monitoring and fully equipped for pericardiosynthesis and resuscitation with on standby surgical backup. Although right ventricle perforation is a rare complication of pacemaker implants, regardless of the lead fixation mechanism, the possibility of perforation should always be considered.

Keywords: Pacemaker Perforation Right ventricle