Reel syndrome is a pacemaker lead early dislodgment, characterized by reeling-in of the lead(s) without being damaged.We herein present a case of an 86-year-old woman, with medical history of single chamber pacemaker implantation two years ago, Wheelchair admitted in cardiology department with complete AV block.Chest-Xray revealed ventricular lead coiling around and behind the pacemaker device.
Urgent extraction of the previous pacemaker was performed; however, the lead damage made its repositioning unfeasible.Successful implantation of single-chamber pacemaker has been made.This Brow Kit clinical case highlights the importance of adequate follow-up to timely identify lead dislodgement, avoid lethal complications and lead fracture.