Cardiac perforation is a known complication of device implantation. It is an under-recognized complication with significant morbidity and mortality, particularly if not recognized early. We report a case of subacute right ventricular perforation caused by passive-fixation lead 12 days after implantation which was successfully managed by pulling back and repositioning the same lead under local anaesthesia ,without transvenous lead extraction or surgery. Early recognition of this complication is important as the indications for and numbers of patients who receive cardiac implantable electronic devices continue to increase.