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

K. Srivathsan; R. A. Byrne; C. P. Appleton; Luis R.P. Scott

doi:10.1016/S1099-5129(03)00093-X

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

K. Srivathsan, R. A. Byrne, C. P. Appleton, Luis R.P. Scott

Research output: Contribution to journal › Article › peer-review

24 Scopus citations

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.

Original language	English (US)
Pages (from-to)	361-363
Number of pages	3
Journal	Europace
Volume	5
Issue number	4
DOIs	https://doi.org/10.1016/S1099-5129(03)00093-X
State	Published - Oct 2003

Keywords

Contralateral pneumothorax
Dual chamber permanent pacemaker
Pacemaker insertion complications

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/S1099-5129(03)00093-X

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title = "Pneumopericardium and pneumothorax contralateral to venous access site after permanent pacemaker implantation",

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.",

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T1 - Pneumopericardium and pneumothorax contralateral to venous access site after permanent pacemaker implantation

AU - Srivathsan, K.

AU - Byrne, R. A.

AU - Appleton, C. P.

AU - Scott, Luis R.P.

PY - 2003/10

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N2 - 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.

AB - 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.

KW - Contralateral pneumothorax

KW - Dual chamber permanent pacemaker

KW - Pacemaker insertion complications

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

Abstract

Keywords

ASJC Scopus subject areas

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