Udyavar, A RPandurangi, U MLatchumanadhas, KMullasari, A S2008-01-262009-06-022008-01-262009-06-022008-01-26Udyavar AR, Pandurangi UM, Latchumanadhas K, Mullasari AS. Repeated fracture of pacemaker leads with migration into the pulmonary circulation and temporary pacemaker wire insertion via the azygous vein. Journal of Postgraduate Medicine. 2008 Jan-Mar; 54(1): 28-31http://imsear.searo.who.int/handle/123456789/115422Repeated implantation of pacemaker in the same patient is a common occurrence because of the increased longevity of patients. However, repeated lead fracture in the same patient and migration of the pacemaker lead into the pulmonary circulation is rare. We describe a 56-year-old gentleman who had undergone pacemaker implantations thrice due to repeated lead fractures (thrice) and also had migration of the pacemaker lead into the pulmonary circulation. He also had an azygous vein which was noticed while placing the temporary pacemaker wire.engAzygos VeinElectrodes, Implanted --adverse effectsEquipment DesignEquipment FailureForeign-Body Migration --etiologyHumansMaleMiddle AgedPacemaker, Artificial --adverse effectsProsthesis Implantation --adverse effectsTomography, X-Ray ComputedTreatment OutcomeCase Reports