Pneumomediastinum and right sided pneumothorax following dual chamber-ICD implantation

Jonathan Rosman; Michael D. Shapiro; Sam Hanon

doi:10.1007/s10840-006-9080-y

Pneumomediastinum and right sided pneumothorax following dual chamber-ICD implantation

Jonathan Rosman, Michael D. Shapiro, Sam Hanon

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

A 64-year-old-male with ischemic cardiomyopathy and a severely reduced left ventricular ejection fraction underwent a left sided ICD implantation for primary prophylaxis. Given a history of sarcoidosis and bifasicular block on ECG, a dual chamber device was placed in anticipation of progressive conduction disease. The patient returned 2 days after implantation with a right sided tension pneumothorax. A chest tube was immediately placed with hemodynamic and clinical improvement. CT chest revealed extrusion of the atrial lead through the right atrial appendage. The atrial lead was removed without incident.

Original language	English (US)
Pages (from-to)	157-158
Number of pages	2
Journal	Journal of Interventional Cardiac Electrophysiology
Volume	17
Issue number	2
DOIs	https://doi.org/10.1007/s10840-006-9080-y
State	Published - Nov 2006
Externally published	Yes

Keywords

Atrial lead perforation
Contralateral pneumothorax
Pneumomediastinum

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1007/s10840-006-9080-y

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abstract = "A 64-year-old-male with ischemic cardiomyopathy and a severely reduced left ventricular ejection fraction underwent a left sided ICD implantation for primary prophylaxis. Given a history of sarcoidosis and bifasicular block on ECG, a dual chamber device was placed in anticipation of progressive conduction disease. The patient returned 2 days after implantation with a right sided tension pneumothorax. A chest tube was immediately placed with hemodynamic and clinical improvement. CT chest revealed extrusion of the atrial lead through the right atrial appendage. The atrial lead was removed without incident.",

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AU - Shapiro, Michael D.

AU - Hanon, Sam

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N2 - A 64-year-old-male with ischemic cardiomyopathy and a severely reduced left ventricular ejection fraction underwent a left sided ICD implantation for primary prophylaxis. Given a history of sarcoidosis and bifasicular block on ECG, a dual chamber device was placed in anticipation of progressive conduction disease. The patient returned 2 days after implantation with a right sided tension pneumothorax. A chest tube was immediately placed with hemodynamic and clinical improvement. CT chest revealed extrusion of the atrial lead through the right atrial appendage. The atrial lead was removed without incident.

AB - A 64-year-old-male with ischemic cardiomyopathy and a severely reduced left ventricular ejection fraction underwent a left sided ICD implantation for primary prophylaxis. Given a history of sarcoidosis and bifasicular block on ECG, a dual chamber device was placed in anticipation of progressive conduction disease. The patient returned 2 days after implantation with a right sided tension pneumothorax. A chest tube was immediately placed with hemodynamic and clinical improvement. CT chest revealed extrusion of the atrial lead through the right atrial appendage. The atrial lead was removed without incident.

KW - Atrial lead perforation

KW - Contralateral pneumothorax

KW - Pneumomediastinum

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Pneumomediastinum and right sided pneumothorax following dual chamber-ICD implantation

Abstract

Keywords

ASJC Scopus subject areas

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