Beneath the rhythm: Deciphering the subtle perforation of the right ventricle by a pacemaker lead

Abstract

Cardiac perforation by the lead of permanent pacemaker implantation devices is a critical complication that often occurs within 24 h after the implantation but can occur later. Here, we report a case of an 82-year-old female patient with perforation of the right ventricular wall due to right ventricle lead after 3 months of pacemaker implantation, which was managed conservatively.

Keywords

• cardiac device complications
• conservative management
• pacemaker lead
• pericardial effusion
• permanent pacemaker
• right ventricle perforation
• sick sinus syndrome