PERFORATION OF THE RIGHT ATRIUM WITH THE DEVELOPMENT OF RIGHT-SIDED PNEUMOTHORAX AND PNEUMOPERICARDIUM IN A PATIENT WITH AN IMPLANTED DUAL-CHAMBER PACEMAKER
Development of pneumothorax after pacemaker implantation is an uncommon complication. Pneu-mothorax, contralateral to venous access site, due to atrial lead perforation is a more rare complication. The most frequently reported predictors of lead perforation are active fixation leads, low...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Al-Farabi Kazakh National University
2021-01-01
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| Series: | Interdisciplinary Approaches to Medicine |
| Subjects: | |
| Online Access: | https://appmed.kaznu.kz/index.php/medicine/article/view/73/67 |
| _version_ | 1819173981472686080 |
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| author | A. Kocharian E. Zhelyakov O. Knigina D. Giller A. Ardashev |
| author_facet | A. Kocharian E. Zhelyakov O. Knigina D. Giller A. Ardashev |
| author_sort | A. Kocharian |
| collection | DOAJ |
| description | Development of pneumothorax after pacemaker implantation is an uncommon complication. Pneu-mothorax, contralateral to venous access site, due to atrial lead perforation is a more rare complication. The most frequently reported predictors of lead perforation are active fixation leads, low body mass index, older age, female gender and concomitant anticoagulation therapy. We described a clinical case of a 69-year-old patient who had undergone radiofrequency abla-tion of atrial fibrillation several years earlier. Several years later, the patient developed sick sinus syndrome (chronotropic incompetence) and bifascicular block, as a result of which he was implant-ed with a dual-chamber pacemaker, which was subsequently complicated by perforation of the right atrial appendage with damage to the middle lobe of the right lung with the development of pneu-mothorax and pneumopericardium. Described cases illustrates that if right pneumothorax symptoms occur in a patient where the device was placed from a left subclavian approach, perforation of the atrial appendage should be excluded. By far the preferred method of diagnosing this complication today is chest CT scan. |
| first_indexed | 2024-12-22T20:31:43Z |
| format | Article |
| id | doaj.art-e37801def3fd47d6b4a362c55e0ede3e |
| institution | Directory Open Access Journal |
| issn | 2709-2968 2709-2976 |
| language | English |
| last_indexed | 2024-12-22T20:31:43Z |
| publishDate | 2021-01-01 |
| publisher | Al-Farabi Kazakh National University |
| record_format | Article |
| series | Interdisciplinary Approaches to Medicine |
| spelling | doaj.art-e37801def3fd47d6b4a362c55e0ede3e2022-12-21T18:13:35ZengAl-Farabi Kazakh National UniversityInterdisciplinary Approaches to Medicine2709-29682709-29762021-01-0122566110.26577/IAM.2021.v2.i2.010PERFORATION OF THE RIGHT ATRIUM WITH THE DEVELOPMENT OF RIGHT-SIDED PNEUMOTHORAX AND PNEUMOPERICARDIUM IN A PATIENT WITH AN IMPLANTED DUAL-CHAMBER PACEMAKERA. Kocharian0E. Zhelyakov1O. Knigina2D. Giller3A. Ardashev4Moscow JSC Medicina, Russia, MoscowLomonosov State University, Russia, Moscow3Moscow JSC Medicina, Russia, Moscow Medical Sechenov University, Russia, Moscow Lomonosov State University, Russia, MoscowDevelopment of pneumothorax after pacemaker implantation is an uncommon complication. Pneu-mothorax, contralateral to venous access site, due to atrial lead perforation is a more rare complication. The most frequently reported predictors of lead perforation are active fixation leads, low body mass index, older age, female gender and concomitant anticoagulation therapy. We described a clinical case of a 69-year-old patient who had undergone radiofrequency abla-tion of atrial fibrillation several years earlier. Several years later, the patient developed sick sinus syndrome (chronotropic incompetence) and bifascicular block, as a result of which he was implant-ed with a dual-chamber pacemaker, which was subsequently complicated by perforation of the right atrial appendage with damage to the middle lobe of the right lung with the development of pneu-mothorax and pneumopericardium. Described cases illustrates that if right pneumothorax symptoms occur in a patient where the device was placed from a left subclavian approach, perforation of the atrial appendage should be excluded. By far the preferred method of diagnosing this complication today is chest CT scan.https://appmed.kaznu.kz/index.php/medicine/article/view/73/67perforation of the appendage of the right atriumpneumopericardiumright-sided pneu-mothorax. |
| spellingShingle | A. Kocharian E. Zhelyakov O. Knigina D. Giller A. Ardashev PERFORATION OF THE RIGHT ATRIUM WITH THE DEVELOPMENT OF RIGHT-SIDED PNEUMOTHORAX AND PNEUMOPERICARDIUM IN A PATIENT WITH AN IMPLANTED DUAL-CHAMBER PACEMAKER Interdisciplinary Approaches to Medicine perforation of the appendage of the right atrium pneumopericardium right-sided pneu-mothorax. |
| title | PERFORATION OF THE RIGHT ATRIUM WITH THE DEVELOPMENT OF RIGHT-SIDED PNEUMOTHORAX AND PNEUMOPERICARDIUM IN A PATIENT WITH AN IMPLANTED DUAL-CHAMBER PACEMAKER |
| title_full | PERFORATION OF THE RIGHT ATRIUM WITH THE DEVELOPMENT OF RIGHT-SIDED PNEUMOTHORAX AND PNEUMOPERICARDIUM IN A PATIENT WITH AN IMPLANTED DUAL-CHAMBER PACEMAKER |
| title_fullStr | PERFORATION OF THE RIGHT ATRIUM WITH THE DEVELOPMENT OF RIGHT-SIDED PNEUMOTHORAX AND PNEUMOPERICARDIUM IN A PATIENT WITH AN IMPLANTED DUAL-CHAMBER PACEMAKER |
| title_full_unstemmed | PERFORATION OF THE RIGHT ATRIUM WITH THE DEVELOPMENT OF RIGHT-SIDED PNEUMOTHORAX AND PNEUMOPERICARDIUM IN A PATIENT WITH AN IMPLANTED DUAL-CHAMBER PACEMAKER |
| title_short | PERFORATION OF THE RIGHT ATRIUM WITH THE DEVELOPMENT OF RIGHT-SIDED PNEUMOTHORAX AND PNEUMOPERICARDIUM IN A PATIENT WITH AN IMPLANTED DUAL-CHAMBER PACEMAKER |
| title_sort | perforation of the right atrium with the development of right sided pneumothorax and pneumopericardium in a patient with an implanted dual chamber pacemaker |
| topic | perforation of the appendage of the right atrium pneumopericardium right-sided pneu-mothorax. |
| url | https://appmed.kaznu.kz/index.php/medicine/article/view/73/67 |
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