We are reporting a case of lead extraction from a woman who has been implanted permanent peacemaker (PPM), and later has a complication of a local site infection and infective endocarditis. She had multiple local debridement procedures, generator removal, and multiple cable amputation. Her PPM wire was free-floating inside the right ventricle (RV). Lead extraction was done successfully using a snare catheter and a long sheath.  
                        
                        
                        
                        
                            
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