Delayed intracardiac migration of a retained epicardial pacing wire 14 years after coronary artery bypass grafting presenting with high-burden polymorphic ventricular ectopy: a case report

The multidisciplinary team favoured surveillance rather than extraction, given chronicity, co-morbidities, and risk of surgery, with safety netting and scheduled rhythm follow-up to avoid delaying cancer surgery. This case highlights the value of imaging, multidisciplinary discussion, and patient-specific risk in assessing retained TEPWs. In late wire migration with <i>trans</i>-myocardial passage, active surveillance strategy may be appropriate when extraction risk is high and competing priorities exist.