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Pneumopericardium and pneumomediastinum after implantation of a cardiac resynchronization pacemaker

Abstract:
A patient with previous coronary artery bypass grafting developed an iatrogenic pneumothorax, along with pneumopericardium and pneumomediastinum, after elective implantation of a cardiac resynchronization therapy pacemaker. There was no evidence of lead perforation, and the patient remained well and was successfully managed conservatively. We hypothesize that air tracked from the pneumothorax via microscopic pleuropericardial fistulae. (Level of Difficulty: Intermediate.).
Publication status:
Published
Peer review status:
Peer reviewed

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Institution:
University of Oxford
Division:
MSD
Department:
Physiology Anatomy & Genetics
Oxford college:
Keble College
Role:
Author
Publisher:
Elsevier
Journal:
JACC Case Reports More from this journal
Volume:
1
Issue:
3
Pages:
381-384
Publication date:
2019-10-16
Acceptance date:
2019-07-24
DOI:
ISSN:
2666-0849
Pmid:
31807734
Language:
English
Keywords:
Pubs id:
pubs:1077675
UUID:
uuid:089da362-2653-4db3-8dd3-c595c299a3ff
Local pid:
pubs:1077675
Source identifiers:
1077675
Deposit date:
2019-12-16

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