Pneumopericardium and Pneumomediastinum After Implantation of a Cardiac Resynchronization Pacemaker

A patient with previous coronary artery bypass grafting developed an iatrogenic pneumothorax, along with pneumopericardium and pneumomediastinum, after elective implantation of a cardiac resynchronization therapy pacemaker. There was no evidence of lead perforation, and the patient remained well and...

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Bibliographic Details
Published in:JACC: Case Reports
Main Authors: Peregrine G. Green, MA(Oxon), BM BCh, Neil Herring, MA(Oxon), BM BCh, DPhil
Format: Article
Language:English
Published: Elsevier 2019-10-01
Subjects:
complication
fistula
pacemaker
pneumomediastinum
pneumopericardium
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084919302955
Description
Summary:A patient with previous coronary artery bypass grafting developed an iatrogenic pneumothorax, along with pneumopericardium and pneumomediastinum, after elective implantation of a cardiac resynchronization therapy pacemaker. There was no evidence of lead perforation, and the patient remained well and was successfully managed conservatively. We hypothesize that air tracked from the pneumothorax via microscopic pleuropericardial fistulae. (Level of Difficulty: Intermediate.)
ISSN:2666-0849

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