Delayed perforation of the right ventricular wall by a single standard-caliber implantable cardioverter-defibrillator lead detected by multidetector computed tomography.

We present an unusual case of a delayed right ventricular perforation by a single standard-caliber implantable cardioverter-defibrillator lead, which manifested 14 days after implantation. Multidetector computed tomography could clearly display the lead perforation, and allow for identification of the associated sequelae such as pericardial effusion and planning the lead extraction strategy.