Perforation by permanent pacemaker lead: How late can they occur?

Abstract

Perforation by permanent pacemaker lead is rare but does occur. Usually perforations happen soon after the procedure, mostly within one year. But rarely, they occur late. We report a case of delayed perforation by passive fixation lead 33 weeks after the implantation in a patient with no comorbidities. The patient remained asymptomatic regarding the perforation except for having the features of pacing failure.