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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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Detalles Bibliográficos
Autores principales: Green, Peregrine G., Herring, Neil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884155/
https://www.ncbi.nlm.nih.gov/pubmed/31807734
http://dx.doi.org/10.1016/j.jaccas.2019.07.038
Descripción
Sumario: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.)