Figure 6From: Successful management of multiple permanent pacemaker complications – infection, 13 year old silent lead perforation and exteriorisation following failed percutaneous extraction, superior vena cava obstruction, tricuspid valve endocarditis, pulmonary embolism and prosthetic tricuspid valve thrombosis Intraoperative photograph showing the inflammatory granuloma having been dissected to reveal the tip of the pacemaker lead.Back to article page