| Pneumopericardium with cardiac tamponade as a complication of cardiac pacemaker insertion one year after procedure. | |
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MedLine Citation:
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PMID: 20542397 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Background: Lead dislodgement has been shown to be the most common complication in the first 30 days after pacemaker insertion. Although it is rare, pneumopericardium with tamponade can also result. Objectives: We present a case of an extremely rare delay from cardiac pacemaker insertion to lead migration with resulting pneumopericardium and cardiac tamponade. Case Report: A 65-year-old woman with a past medical history significant for congestive heart failure, chronic obstructive pulmonary disease, and third-degree heart block, requiring pacemaker insertion 2 years prior with a revision 1 year prior, presented to the Emergency Department complaining of sudden-onset pleuritic chest pain. Her work-up revealed a pneumopericardium with atrial pacemaker lead migration into the right middle lobe of the lung. She suddenly developed hypotension and respiratory distress and required pericardiocentesis and, ultimately, surgical repair for a perforated right atrium. Conclusion: Pacemaker migration can lead to pneumopericardium and tamponade, even up to 1 year after placement. |
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Authors:
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Rory O'Neill; Marc Silver; Fahim Khorfan |
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Publication Detail:
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Type: Journal Article Date: 2010-06-12 |
Journal Detail:
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Title: The Journal of emergency medicine Volume: 43 ISSN: 0736-4679 ISO Abbreviation: J Emerg Med Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-08 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 641-4 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Emergency Medicine, Genesys Regional Medical Center, Grand Blanc, Michigan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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