alexa Pneumopericardium and pneumothorax contralateral to venous access site after permanent pacemaker implantation.


Journal of Clinical & Experimental Cardiology

Author(s): Srivathsan K, Byrne RA, Appleton CP, Scott LR

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Abstract A 77-year-old female underwent implantation of a left-sided dual chamber permanent pacemaker for symptomatic bradycardia with active fixation leads. Eight hours after the procedure, the patient complained of shortness of breath and was found to have a 30\% right pneumothorax on chest X-ray. Immediately, a chest tube was inserted, promptly relieving the symptoms. A CT scan of the chest revealed extrusion of the helix of the screw-in atrial lead, through the wall of the right atrial appendage. The helix was abutting a bulla in the right lung, the likely cause for pneumothorax and pneumopericardium. The atrial lead was explanted without incident.
This article was published in Europace and referenced in Journal of Clinical & Experimental Cardiology

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