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Pneumothorax leading to pneumopericardium after transvenous lead implantation in a patient with previous epicardial lead
Author(s) -
Bansal Raghav,
Mahajan Ankit,
Rathi Chetan,
Lokhandwala Yash
Publication year - 2021
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.14136
Subject(s) - medicine , pneumopericardium , pneumothorax , lead (geology) , cardiac resynchronization therapy , cardiology , pericardium , surgery , radiology , heart failure , ejection fraction , geomorphology , geology
A 44‐year‐old lady, a follow‐up case of idiopathic dilated cardiomyopathy and cardiac resynchronization therapy defibrillator device implantation with epicardial left ventricular (LV) lead, underwent a transvenous LV lead revision in view of epicardial lead malfunction. A chest X‐ray after this, done for worsening dyspnea, revealed pneumopericardium along with left pneumothorax. The computed tomography (CT) revealed a communication between the left pleural and pericardial cavities, around the old epicardial lead. Drainage of the left pleural cavity resolved both the pneumothorax and pneumopericardium and the patient remained well on follow up.