Very-late-phase perforation of the septum and left ventricle by a passive fixation pacemaker lead: Case report

Key Teaching Points•A case of very late lead perforation from the interventricular septum to the left ventricular side by a passive fixation lead in the very late phase is reported.•Late lead perforation is rarer and comparatively little has been written about risk factors.•The case is instructive for diagnosis and therapeutic strategy for very-late-phase lead perforation. •A case of very late lead perforation from the interventricular septum to the left ventricular side by a passive fixation lead in the very late phase is reported.•Late lead perforation is rarer and comparatively little has been written about risk factors.•The case is instructive for diagnosis and therapeutic strategy for very-late-phase lead perforation.