https://orcid.org/0000-0002-4483-9778
A 94-year-old man with symptomatic third-degree atrioventricular (AV) block was implanted a single-chamber pacemaker with active-fixation lead without complications. Thirteen days later, he was admitted with bradycardia symptoms. Total AV block was documented with absence of capture at any voltage. Chest X-ray and thoracic computed tomography showed dislocation of the lead towards the abdominal cavity without pericardial effusion and no colon perforation. Lead removal by simple traction and a new lead implantation was performed uneventfully, instead of surgical lead extraction with backup for emergency thoracotomy. Lead type and free wall apical position in a nonagenarian patient contributed to perforation.
Conflict of interest: none declared.
