Concurrent Pacemaker Lead Perforation and Subacute Coronary Stent Thrombosis: A Case Report

Stent thrombosis and lead perforation are important differentials for patients presenting with chest pain following recent coronary stent insertion pacemaker insertion. In this report, we describe an unusual case of a 78-year-old male who presented sharp one week after admission posterior ST-elevation myocardial infarction (STEMI) subsequent Mobitz type II block, which he received primary percutaneous intervention (PPCI) to the left circumflex artery (LCx) dual chamber permanent (PPM) Computed tomography (CT) CT angiogram (CTCA), respectively, showed had concurrent thrombosis. On balance, cause was likely perforation. This diagnosis reached by having high index suspicion both these post-procedure complications investigating appropriately.