Crossed my heart, into the gut? A case of cardiac perforation with accompanying diaphragmatic perforation during temporary transvenous pacemaker placement

Temporary transvenous pacing is generally considered a safe procedure and is commonly performed for various emergent indications. However, complications are quite common with minor complications being more frequent than major life-threatening events. Cardiac perforation is a serious complication associated with the procedure with possible life- threatening consequences. Our report describes the imaging findings in a rare case of cardiac perforation with accompanying diaphragmatic perforation during temporary transvenous pacemaker placement.