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Case Reports
. 2023 Jul 20;9(9):680-684.
doi: 10.1016/j.hrcr.2023.07.004. eCollection 2023 Sep.

Risk for contralateral pneumothorax, pneumopericardium, and pneumomediastinum in the elderly patient receiving a dual-chamber pacemaker-A case report of 2 patients with acute and chronic atrial lead perforation

Emma Hegwood  1 , Gregory Burkman  1 , Ankit Maheshwari  1
Affiliations
Case Reports

Risk for contralateral pneumothorax, pneumopericardium, and pneumomediastinum in the elderly patient receiving a dual-chamber pacemaker-A case report of 2 patients with acute and chronic atrial lead perforation

Emma Hegwood et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Active fixation; Contralateral; Dual chamber; Pacemaker; Passive fixation; Perforation; Pneumopericardium; Pneumothorax.

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Figures

Figure 1
Figure 1
Chest radiography in anteroposterior (left) view. A: Image at device implantation conclusion, without hemopneumothorax. B: Image at 24 hours postprocedure, with large contralateral right-sided pneumothorax with lung collapse. Note there is no translocation observed in either right atrium or right ventricle lead position from time of implant.
Figure 2
Figure 2
Computed tomography of the chest with pneumoperitoneum and atrial lead position.
Figure 3
Figure 3
A: Axial chest computed tomography (CT) demonstrating contralateral pneumothorax. B: Coronal chest CT demonstrating lead tracking into contralateral pleural space C: Pneumomediastinum resulting from right atrial lead perforation
See this image and copyright information in PMC

References

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