case_images: PMC5733900_01
case_images: A chest X-ray of the patient on presentation revealing the right ventricular lead overlying the left.
case_images: CRIC2017-1264734.001.jpg
case_images: PMC5733900_01_CRIC2017-1264734.001.jpg
case_images: fig1
case_images: Chest X-ray showed mild left pleural effusion, and the right ventricular pacemaker lead was found to be overlying the left heart margin, raising the possibility of perforation (Figure 1).
case_images: CT scan showing the tip of the right ventricular lead penetrating the anterior wall of the right.
case_images: CRIC2017-1264734.002.jpg
case_images: PMC5733900_01_CRIC2017-1264734.002.jpg
case_images: fig2
case_images: There was also a 2 x 5.8 cm epicardial hematoma surrounding the tip of the lead (Figure 2).