PMC5364770_01
Postprocedure chest X-ray demonstrated proper positions of both right atrial and ventricular leads. No evidence of pleural effusions or pneumothorax were seen
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F1
A routine chest X-ray confirmed acceptable right atrial and RV lead placement with no initial complications [Figure 1].
Bruising was clearly seen later and inferior to her left breast
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F2
Atypical tenderness to palpation and bruising were also noted in the left mid-axillary region [Figure 2].
Follow-up chest X-ray suggesting erosion of right ventricular lead into the pleural space and into the chest wall. Anatomically, this corresponded to the cutaneous bruising
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F3
No obvious widening of the cardiac silhouette or pleural effusion was appreciated [Figure 3].
Computed tomography scan of the chest confirmed erosion of the lead through the pericardium and embedding into the intercostal/rib space. Interestingly, no pleural or pericardial effusions, hemothorax, or pneumothorax were seen radiographically
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F4
A computed tomography (CT) scan confirmed cardiac perforation with lead erosion into the 6th rib [Figure 4].
PMC5364770_02