title: Pacemaker lead erosion simulating "Loch Ness Monster": conservative management.
abstract: The majority of pacemaker pocket or lead erosions are due to either mechanical erosion by the bulky pulse generator or secondary to pacemaker pocket infection. We describe an unusual case of delayed pacemaker lead erosion causing extrusion of a portion of the pacing lead, with separate entry and exit points, with the gap filled with new skin formation, simulating the "Loch Ness Monster", which was successfully managed conservatively by surgical reinsertion.
authors.affiliation: Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. navgarg@sgpgi.ac.in
authors.forename: Naveen
authors.initials: N
authors.lastname: Garg
authors.forename: Nagaraja
authors.initials: N
authors.lastname: Moorthy
mesh_terms: D004868:Equipment Failure; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery