Lead extraction procedure performed for device infection.A 16f glidelight laser sheath was utilized to successfully remove both leads.All devices were removed and pocket was closed.Post extraction, > 15 minutes later, patient experienced a bp drop.Rescue efforts commenced, ultimately ending in sternotomy.A 1 cm tear was found at the ra/svc junction and was repaired.Bleeding remained persistent upon initial repair while identifying a second tear of < 0.5cm on the anterior rv wall, which was also repaired.Patient survived the procedure.
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