Dislodged Right Ventricular Pacemaker Lead Detected Incidentally Two Years Post-implantation via Echocardiography: A Case Report

Dislodgement of cardiac implantable electronic device (CIED) leads following implantation ideally should not be missed. However, more often than not, patients do not undergo post-operative imaging following these procedures due to a lack of evidence behind the role of imaging following uncomplicated pacemaker (PPM) implantation procedures, based on the most recent guidelines<i>.</i> This is a case report of a dual-chamber pacemaker (DC-PPM) right ventricular (RV) lead that was found dislodged and coiled in the right ventricular outflow tract (RVOT) as an incidental finding via a routine transthoracic echocardiogram (TTE) study two years after implantation. We intend to shed light on the significance of timely detection of lead-related complications, as they can result in poor outcomes for patients.