Pneumomediastinum and right sided pneumothorax following dual chamber-ICD implantation

Jonathan Rosman, Michael D. Shapiro, Sam Hanon

    Research output: Contribution to journalArticlepeer-review

    4 Scopus citations


    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 languageEnglish (US)
    Pages (from-to)157-158
    Number of pages2
    JournalJournal of Interventional Cardiac Electrophysiology
    Issue number2
    StatePublished - Nov 2006


    • Atrial lead perforation
    • Contralateral pneumothorax
    • Pneumomediastinum

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine
    • Physiology (medical)


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