Key result
An atrial pacemaker lead that migrated into the right lung causing asymptomatic late cardiac perforation was successfully explanted without complications by simple manual traction.
Simple manual traction through the device pocket can be a safe method for explanting an atrial pacemaker lead that has migrated into the right lung.
Single-case success with manual traction for asymptomatic migrated atrial lead; leaves open generalizability and need for prospective safety data.
This report illustrates an unusual case of asymptomatic late cardiac perforation by an atrial pacemaker lead into the right lung. In the present case, the lead was explanted by simple manual traction through the device pocket without any complications.
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Schryver et al. (2014) studied this question. An atrial pacemaker lead that migrated into the right lung causing asymptomatic late cardiac perforation was successfully explanted without complications by simple manual traction.
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