alexa Pneumopericardium and Contralateral Pneumothorax to Venous Access Site after a Biventricular Permanent Pacemaker Implantation | OMICS International | Abstract
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Case Report

Pneumopericardium and Contralateral Pneumothorax to Venous Access Site after a Biventricular Permanent Pacemaker Implantation

Ramon Martos1*, Sulaiman Khadadah1, Husaiman Alsaleh1, Brendan Foley1 and Jonathan D. Dodd2
1Department of Cardiology, CREST Directorate, St James’s Hospital, James’s Street North, Dublin 3, Dublin, Ireland
2Department of Cardiology, Cardiac CT/MRI Program, St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland
Corresponding Author : Ramon Martos
Department of Cardiology, CREST Directorate
St James’s Hospital, James’s Street North
Dublin 3, Dublin, Ireland
E-mail: [email protected]
Received: August 01, 2011; Accepted: September 06, 2011; Published: September 11, 2011
Citation: Martos R, Khadadah S, Alsaleh H, Foley B, Dodd JD (2011) Pneumopericardium and Contralateral Pneumothorax to Venous Access Site after a Biventricular Permanent Pacemaker Implantation. J Clinic Experiment Cardiol 2:150. doi:10.4172/2155-9880.1000150
Copyright: © 2011 Martos R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

A 79-year-old female underwent implantation of a left sided biventricular permanent pacemaker for symptomatic severe heart failure with active fixation leads. Twelve hours after the procedure, the patient complained of pleuretic chest pain and was found to have a 10-15% right pneumothorax on a thorax CT scan. Patient was managed conservatively, successfully relieving the symptoms. The CT scan of the chest also revealed extrusion of the helix of the screw-in atrial lead, through the wall of the right atrial appendage. The helix was adjacent to a bulla in the right lung, the likely cause for pneumothorax and pneumopericardium. The atrial lead was repositioned the following day without complications.

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