NDLI: Pneumopericardium with cardiac tamponade as a complication of cardiac pacemaker insertion one year after procedure.

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Pneumopericardium with cardiac tamponade as a complication of cardiac pacemaker insertion one year after procedure.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	O'Neill, Rory Silver, Marc Khorfan, Fahim
Description	Country affiliation: United States Author Affiliation: O'Neill R ( Department of Emergency Medicine, Genesys Regional Medical Center, Grand Blanc, Michigan, USA.)
Abstract	BACKGROUND: Lead dislodgement has been shown to be the most common complication in the first 30 days after pacemaker insertion. Although it is rare, pneumopericardium with tamponade can also result. OBJECTIVES: We present a case of an extremely rare delay from cardiac pacemaker insertion to lead migration with resulting pneumopericardium and cardiac tamponade. CASE REPORT: A 65-year-old woman with a past medical history significant for congestive heart failure, chronic obstructive pulmonary disease, and third-degree heart block, requiring pacemaker insertion 2 years prior with a revision 1 year prior, presented to the Emergency Department complaining of sudden-onset pleuritic chest pain. Her work-up revealed a pneumopericardium with atrial pacemaker lead migration into the right middle lobe of the lung. She suddenly developed hypotension and respiratory distress and required pericardiocentesis and, ultimately, surgical repair for a perforated right atrium. CONCLUSION: Pacemaker migration can lead to pneumopericardium and tamponade, even up to 1 year after placement.
File Format	HTM / HTML
ISSN	07364679
Issue Number	4
Volume Number	43
Journal	The Journal of Emergency Medicine
Language	English
Publisher	Elsevier
Publisher Date	2012-10-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency medicine Cardiac Tamponade Etiology Pacemaker, Artificial Adverse Effects Pneumopericardium Prosthesis Implantation Aged Surgery Chest Pain Female Heart Atria Injuries Heart Injuries Humans Prosthesis Failure Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Emergency Medicine

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