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7166394 
Journal Article 
Late lead perforation presenting as acute shoulder pain 
Velibey, Y; Alper, AT; Sahin, S; Tekkesin, AI; Yildiz, U; Turkkan, C; Guzelburc, O; Gunay, R; , 
2016 
Yes 
American Journal of Emergency Medicine
ISSN: 0735-6757
EISSN: 1532-8171 
W B SAUNDERS CO-ELSEVIER INC 
PHILADELPHIA 
27251232 
WOS:000389517200062 
Pacemaker lead perforation is a rare but important complication with an incidence of less than 1%. Late lead perforation is defined as the perforation of a device lead through the myocardium more than 30 days after implantation. Here we present a case of late lead perforation which presented with sudden onset of severe left shoulder pain. This case illustrates the unusual presentation of a delayed pacemaker lead perforation.