Abstract
Cardiac perforation post pacemaker insertion is a rare complication. However, acute right ventricular perforation presenting with hemopericardium leading to cardiac tamponade is a life-threatening condition which may prove fatal without urgent intervention. The diagnosis is based on clinical presentation of the patient post procedure along with chest Xray, Computed tomography (CT) scan and echocardiographic study. Management of the perforation is based on clinical assessment of the patient. Rapidly progressing pericardial effusion or neighbouring organ injury result in haemodynamic instability for which urgent surgical intervention is indispensable.
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