Hybrid Technique for a Rare Complication of Cardiac Devices Implantation.

Cardiac perforation is a rare complication of cardiac devices implantation. In this case report, a case of a 90-year-old man with early cardiac lead perforation is presented. The combination of capture failure on the electrocardiogram with the malposition of ventricular lead on the chest radiogram raised the suspicion for this complication, while the chest computed tomography confirmed the diagnosis. A hybrid management approach was applied for the removal of the initial ventricular lead. Although cardiac perforation is considered a potentially lethal complication, the early diagnosis and the appropriate treatment strategy can be lifesaving and effective, even for older patients.