LEAD EXPLANTATION LATE AFTER ATRIAL PERFORATION

This report describes the case of a patient in whom atrial perforation with penetration of the thoracic wall was diagnosed 2 years after the implantation of an Accufix lead. Despite this complication, atrial de tection in the bipolar mode and ventricular pacing were normal. Digita l fluoroscopy detected a fracture with extrusion of a short segment of the retention wire. The rupture of the retention wire might have been the result, but was not the cause of the perforation.