Figure - available from: Frontiers in Cardiovascular Medicine
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A chest radiograph performed 5 h after implantation showing contralateral pneumothorax, pneumopericardium, and pneumomediastinum. (A) Posterior-anterior (PA) chest X-ray demonstrating contralateral pneumothorax and mild pneumomediastinum. (B) Coronal chest non-contrast computed tomography (CT) scan image showing right-sided pneumothorax, pneumomediastinum, and pneumopericardium (arrows). (C) Horizontal CT image showing pneumopericardium (arrow) and pneumothorax. (D) Horizontal slices of CT scan suggesting possible extrusion of the atrial lead through the right atrium (arrow).
Source publication
Cardiac implantable electronic devices (CIED) including pacemakers (PM), implantable cardioverter defibrillators (ICD), and cardiac resynchronized therapy (CRT) have become the mainstay of therapy for many cardiac conditions, consequently drawing attention to the risks and benefits of these procedures. Although CIED implantation is usually a safe p...
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Constrictive pericarditis is an uncommon complication of acute pericarditis, mainly caused by non-idiopathic sources. Pneumopericardium is the presence of air in the pericardial sac resulting from various procedures and circumstances, including trauma, iatrogenic, non-iatrogenic and natural causes. Here, we report a 16-year-old girl who came to the...
Citations
Background:
Atrial lead perforation may lead to pneumopericardium or pneumothorax within a few days of device implantation.
Methods and results:
We report a case of atrial lead perforation 6 years after cardiac resynchronization therapy implantation, which resulted in pneumopericardium and pneumothorax.
Conclusion:
Although pneumopericardium caused by atrial lead perforation can spontaneously resolve with conservative treatment, as it did in this case, treatment should be decided based on the patient's general condition and lead performance.
