Key result
Surgical repositioning of a migrated ICD with antibiotic mesh achieves uncomplicated recovery and normal function.
Why the study?
Migration of an ICD generator into a subpectoral breast implant pocket is a rare complication with potential functional consequences.
Case Report
A history of breast augmentation may create a pathway for ICD migration, which can be managed with coordinated multidisciplinary surgical repositioning.
Clinicians should suspect ICD migration in breast implant patients with device issues; leaves optimal repositioning strategies open for larger series.
CLINICAL CONDITION: Migration of an implantable cardioverter-defibrillator (ICD) generator into a subpectoral breast implant pocket is a rare complication with potential functional consequences. KEY QUESTIONS: 1) What clinical or imaging findings should raise suspicion for migration in patients with breast implants? 2) Which surgical strategies allow safe repositioning while preserving implant integrity and device function? 3) How does multidisciplinary collaboration help prevent recurrence? OUTCOME: The ICD was retrieved from the implant pocket and repositioned into a subpectoral position using native muscular borders and an antibiotic mesh reinforcement. Recovery was uncomplicated, and device function remained normal at follow-up. TAKE-HOME MESSAGES: A history of breast augmentation may create an unanticipated pathway for ICD migration. Early recognition and coordinated multidisciplinary planning facilitate stable repositioning and reduce the risk of long-term device complications.
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Williams et al. (2026) conducted a case report in ICD migration into a breast implant pocket. Surgical retrieval and repositioning with antibiotic mesh reinforcement was evaluated on Recovery and device function. Surgical retrieval and repositioning of a migrated ICD using native muscular borders and antibiotic mesh reinforcement resulted in uncomplicated recovery and normal device function.
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