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

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

Research output: Contribution to journalArticle

21 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)361-363
Number of pages3
JournalEuropace
Volume5
Issue number4
DOIs
StatePublished - Oct 2003

Fingerprint

Pneumopericardium
Pneumothorax
Thorax
Atrial Appendage
Chest Tubes
Blister
Bradycardia
Dyspnea
X-Rays
Lung
Lead

Keywords

  • Contralateral pneumothorax
  • Dual chamber permanent pacemaker
  • Pacemaker insertion complications

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Pneumopericardium and pneumothorax contralateral to venous access site after permanent pacemaker implantation. / Srivathsan, Komandoor; Byrne, R. A.; Appleton, C. P.; Scott, Luis.

In: Europace, Vol. 5, No. 4, 10.2003, p. 361-363.

Research output: Contribution to journalArticle

@article{2ee0cd2cba9d4be6b5c78f436706b679,
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.",
keywords = "Contralateral pneumothorax, Dual chamber permanent pacemaker, Pacemaker insertion complications",
author = "Komandoor Srivathsan and Byrne, {R. A.} and Appleton, {C. P.} and Luis Scott",
year = "2003",
month = "10",
doi = "10.1016/S1099-5129(03)00093-X",
language = "English (US)",
volume = "5",
pages = "361--363",
journal = "Europace",
issn = "1099-5129",
publisher = "Oxford University Press",
number = "4",

}

TY - JOUR

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

AU - Srivathsan, Komandoor

AU - Byrne, R. A.

AU - Appleton, C. P.

AU - Scott, Luis

PY - 2003/10

Y1 - 2003/10

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

UR - http://www.scopus.com/inward/record.url?scp=0242382794&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0242382794&partnerID=8YFLogxK

U2 - 10.1016/S1099-5129(03)00093-X

DO - 10.1016/S1099-5129(03)00093-X

M3 - Article

C2 - 14753631

AN - SCOPUS:0242382794

VL - 5

SP - 361

EP - 363

JO - Europace

JF - Europace

SN - 1099-5129

IS - 4

ER -