Surgical and Multidisciplinary Management of ICD Migration Into the Breast Implant Pocket.

Authors

Matthew Williams, Samantha Cervantes Valadez, Keyvon Rashidi, Jeffrey D Friedman

Published in

JACC. Case reports. Pages 109636. Aug 05, 2026. Epub Aug 05, 2026.

Abstract

Migration of an implantable cardioverter-defibrillator (ICD) generator into a subpectoral breast implant pocket is a rare complication with potential functional consequences.
1) What clinical or imaging findings should raise suspicion for migration in patients with breast implants? 2) Which surgical strategies allow safe repositioning while preserving implant integrity and device function? 3) How does multidisciplinary collaboration help prevent recurrence?
The ICD was retrieved from the implant pocket and repositioned into a subpectoral position using native muscular borders and an antibiotic mesh reinforcement. Recovery was uncomplicated, and device function remained normal at follow-up.
A history of breast augmentation may create an unanticipated pathway for ICD migration. Early recognition and coordinated multidisciplinary planning facilitate stable repositioning and reduce the risk of long-term device complications.

PMID:
42554559
Bibliographic data and abstract were imported from PubMed on 05 Aug 2026.

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