Massive Tension Hemothorax After Pacemaker Implantation

A case of an 85-year-old male on apixaban and clopidogrel undergoing pacemaker implantation is described. After procedure he developed unilateral tension hemothorax and required emergent drainage and exploratory thoracotomy. No vascular, cardiac, or pulmonary source was identified. After multidiscip...

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Detalles Bibliográficos
Autores principales: Matthia, Eldon, Matar, Ralph, Altshuler, Ellery, Kerensky, Richard A, Arnaoutakis, George, Shah, Samir, Omar, Abdullah, Agarwal, Zubin, Miles, William, Xiang, Kun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8405410/
https://www.ncbi.nlm.nih.gov/pubmed/34513377
http://dx.doi.org/10.7759/cureus.16754
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author Matthia, Eldon
Matar, Ralph
Altshuler, Ellery
Kerensky, Richard A
Arnaoutakis, George
Shah, Samir
Omar, Abdullah
Agarwal, Zubin
Miles, William
Xiang, Kun
author_facet Matthia, Eldon
Matar, Ralph
Altshuler, Ellery
Kerensky, Richard A
Arnaoutakis, George
Shah, Samir
Omar, Abdullah
Agarwal, Zubin
Miles, William
Xiang, Kun
author_sort Matthia, Eldon
collection PubMed
description A case of an 85-year-old male on apixaban and clopidogrel undergoing pacemaker implantation is described. After procedure he developed unilateral tension hemothorax and required emergent drainage and exploratory thoracotomy. No vascular, cardiac, or pulmonary source was identified. After multidisciplinary discussions, it was speculated that spontaneous intercostal vessel rupture due to forceful coughing and elevated blood pressure during the procedure was the most likely cause of bleeding.
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spelling pubmed-84054102021-09-09 Massive Tension Hemothorax After Pacemaker Implantation Matthia, Eldon Matar, Ralph Altshuler, Ellery Kerensky, Richard A Arnaoutakis, George Shah, Samir Omar, Abdullah Agarwal, Zubin Miles, William Xiang, Kun Cureus Cardiac/Thoracic/Vascular Surgery A case of an 85-year-old male on apixaban and clopidogrel undergoing pacemaker implantation is described. After procedure he developed unilateral tension hemothorax and required emergent drainage and exploratory thoracotomy. No vascular, cardiac, or pulmonary source was identified. After multidisciplinary discussions, it was speculated that spontaneous intercostal vessel rupture due to forceful coughing and elevated blood pressure during the procedure was the most likely cause of bleeding. Cureus 2021-07-30 /pmc/articles/PMC8405410/ /pubmed/34513377 http://dx.doi.org/10.7759/cureus.16754 Text en Copyright © 2021, Matthia et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Matthia, Eldon
Matar, Ralph
Altshuler, Ellery
Kerensky, Richard A
Arnaoutakis, George
Shah, Samir
Omar, Abdullah
Agarwal, Zubin
Miles, William
Xiang, Kun
Massive Tension Hemothorax After Pacemaker Implantation
title Massive Tension Hemothorax After Pacemaker Implantation
title_full Massive Tension Hemothorax After Pacemaker Implantation
title_fullStr Massive Tension Hemothorax After Pacemaker Implantation
title_full_unstemmed Massive Tension Hemothorax After Pacemaker Implantation
title_short Massive Tension Hemothorax After Pacemaker Implantation
title_sort massive tension hemothorax after pacemaker implantation
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8405410/
https://www.ncbi.nlm.nih.gov/pubmed/34513377
http://dx.doi.org/10.7759/cureus.16754
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