Cardiac strangulation is a rare phenomenon in children following epicardial pacemaker implantation. caused by compression of the heart and great vessels by the epicardial pacemaker wires. We report a rare case of cardiac strangulation presenting after 8 years of epicardial pacemaker implantation. On routine follow-up. https://www.cuttingedgecutleryco.shop/product-category/kitchen-knife-set/