Key result
Conservative management by surgical reinsertion successfully treated an unusual case of delayed pacemaker lead erosion simulating the 'Loch Ness Monster'.
Case Report (n=1)
Delayed pacemaker lead erosion with separate entry and exit points can be successfully managed conservatively by surgical reinsertion.
May support conservative reinsertion for rare delayed pacemaker lead erosion; leaves open generalizability from this single case report.
The majority of pacemaker pocket or lead erosions are due to either mechanical erosion by the bulky pulse generator or secondary to pacemaker pocket infection. We describe an unusual case of delayed pacemaker lead erosion causing extrusion of a portion of the pacing lead, with separate entry and exit points, with the gap filled with new skin formation, simulating the "Loch Ness Monster", which was successfully managed conservatively by surgical reinsertion.
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Garg et al. (2012) conducted a case report in Pacemaker lead erosion (n=1). Conservative management by surgical reinsertion was evaluated on Successful management. Conservative management by surgical reinsertion successfully treated an unusual case of delayed pacemaker lead erosion simulating the 'Loch Ness Monster'.
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