Delayed intracardiac migration of a retained epicardial pacing wire 14 years after coronary artery bypass grafting presenting with high-burden polymorphic ventricular ectopy: a case report.

Ahmed Badr, Ghada D Mustafa, Simon Davies

Abstract readCase Reports

In one paragraph

Article in European heart journal. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ahmed BadrDepartment of Cardiology, Royal Brompton Hospital, Sydney Street, London Sw3 6NP, UK.ORCID https://orcid.org/0009-0007-6155-5973

Ghada D MustafaDepartment of Cardiology, Royal Brompton Hospital, Sydney Street, London Sw3 6NP, UK.

Simon DaviesDepartment of Cardiology, Royal Brompton Hospital, Sydney Street, London Sw3 6NP, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Temporary epicardial pacing wires (TEPWs) are routinely inserted during open-heart surgery and are usually removed before discharge. When retained, most remain clinically silent; however, late complications, including migration, erosion, infection, and arrhythmia, have been reported. Case summary: An 84-year-old man, 14 years after coronary artery bypass grafting, had an incidental metallic density on computed tomography. Imaging showed a retained wire perforating the right ventricular free wall and looping within the main and right pulmonary arteries. There were high burden ventricular ectopy and mild left ventricular systolic dysfunction. Discussion: The multidisciplinary team favoured surveillance rather than extraction, given chronicity, co-morbidities, and risk of surgery, with safety netting and scheduled rhythm follow-up to avoid delaying cancer surgery. This case highlights the value of imaging, multidisciplinary discussion, and patient-specific risk in assessing retained TEPWs. In late wire migration with

Indexed as

Case reportCoronary artery bypass graftingMultimodality cardiac imagingPolymorphic ventricular ectopyRetained wire migrationTemporary epicardial pacing wire

Identifiers

PMID41704827

DOI10.1093/ehjcr/ytag073

PMCPMC12908188

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.