We report an unusual case of subacute right atrial perforation by a screw-in pacemaker lead that migrated into the right lung causing hemopneumothorax 2 weeks after the procedure. After transvenous simple manual traction and minithoracotomy repair of the right atrial wall, the lead was repositioned without any complications. (Level of Difficulty: Beginner.).
Keywords: CT, computed tomography; CXR, chest x-ray; ED, emergency department; atrial lead; cardiac pacemaker; hemothorax; perforation.
© 2020 The Authors.