This case highlights a rare and extreme complication of late right ventricular lead perforation migrating to the subcutaneous fat, which was managed with uneventful extraction.
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Clinicians should monitor for late RV lead perforation in atypical sites; case report leaves incidence and prevention strategies open.
This case report describes the incredible dislocation of a right ventricular lead 1 month after pacemaker implantation. The lead's tip was found in the subcutaneous fat beneath the left breast. Extraction was uneventful. The key steps in the diagnosis and management of this rare complication are discussed.
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Sanoussi et al. (2005) studied this question.
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