Fibrotic attachment to the cardiac wall (FAC) involving the atrial portion of a ventricular lead. Home view: FAC is visible as dense echoes encasing the atrial portion of a ventricular lead (arrow-heads), fixed to the atrial endocardium with loss of independent lead motion (such findings are better seen in the movie). FAC = lead fibrotic attachment to the cardiac wall; RA—right atrium; RV—right ventricle; TV—tricuspid valve.