Lead displacement due to tension pneumothorax following permanent pacemaker implantation

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• 作者：Abdul Rehaman ; MD ; ^{drabdulr1@gmail.com} ; Anusha Ramesh ; MD ; Sanjiv Prajapati ; MD ; Ramesh Basavappa ; MD ; DM
• 关键词：Permanent pacemaker implantation ; Pneumothorax ; Lead displacement
• 刊名：Journal of Cardiology Cases
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：15
• 期：1
• 页码：25-27
• 全文大小：525 K
• 卷排序：15

文摘

A 62-year-old female, who had undergone dual chamber pacemaker implantation through left subclavian approach, developed tension pneumothorax of left side. This resulted in shift of entire mediastinum and lead displacement with altered lead parameters. Pacemaker implantation can be complicated by tension pneumothorax in 0.6–5% of cases. Tension pneumothorax can cause mediastinal shift and rarely cause displacement of the leads. In our patient, shift of mediastinum with change of loops and position was associated with change of parameters requiring lead revision.<Learning objective: Pacemaker implantation can be complicated by tension pneumothorax in 0.6–5% of cases. Tension pneumothorax can cause mediastinal shift and rarely cause displacement of the leads. In our patient, shift of mediastinum with change of loops and position was associated with change of parameters requiring lead revision. This clinical scenario is rarely seen and has not been documented before.>