Case of early right ventricular pacing lead perforation and review of the literature

Figure 2 Transthoracic echocardiogram. A: Image is an apical 4 chamber view of a transthoracic echocardiogram showing a moderate sized localized pericardial effusion with an echo bright structure within the effusion suspicious for lead perforation; B: Image is taken in M-mode and demonstrates right ventricular diastolic collapse suggestive of increased pericardial pressures.