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

被引：24
作者：
Srivathsan, K [1 ]
Byrne, RA [1 ]
Appleton, CP [1 ]
Scott, LRP [1 ]
机构：
[1] Mayo Clin Scottsdale, Div Cardiovasc Dis, Phoenix, AZ USA
来源：
EUROPACE | 2003年 / 5卷 / 04期
关键词：
contralateral pneumothorax; dual chamber permanent pacemaker; pacemaker insertion complications;
D O I：
10.1016/S1099-5129(03)00093-X
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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. (C) 2003 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：361 / 363
页数：3
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