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Green PG, Herring N. Pneumopericardium and Pneumomediastinum After Implantation of a Cardiac Resynchronization Pacemaker. JACC Case Rep. 2019;1(3):381-384doi: 10.1016/j.jaccas.2019.07.038.
Green, P. G., & Herring, N. (2019). Pneumopericardium and Pneumomediastinum After Implantation of a Cardiac Resynchronization Pacemaker. JACC. Case reports, 1(3), 381-384. https://doi.org/10.1016/j.jaccas.2019.07.038
Green, Peregrine G, and Herring, Neil. "Pneumopericardium and Pneumomediastinum After Implantation of a Cardiac Resynchronization Pacemaker." JACC. Case reports vol. 1,3 (2019): 381-384. doi: https://doi.org/10.1016/j.jaccas.2019.07.038
Green PG, Herring N. Pneumopericardium and Pneumomediastinum After Implantation of a Cardiac Resynchronization Pacemaker. JACC Case Rep. 2019 Oct;1(3):381-384. doi: 10.1016/j.jaccas.2019.07.038. PMID: 31807734; PMCID: PMC6884155.
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JACC Case Rep. 2019 Oct;1(3):381-384. doi: 10.1016/j.jaccas.2019.07.038.

Pneumopericardium and Pneumomediastinum After Implantation of a Cardiac Resynchronization Pacemaker.

JACC. Case reports

Peregrine G Green, Neil Herring

Affiliations

  1. Oxford Heart Centre, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.

PMID: 31807734 PMCID: PMC6884155 DOI: 10.1016/j.jaccas.2019.07.038

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. (

© 2019 The Authors.

Keywords: CRT, cardiac resynchronization therapy; CRT-P, cardiac resynchronization therapy pacemaker; CT, computed tomography; CXR, chest radiograph; complication; fistula; pacemaker; pneumomediastinum; pneumopericardium

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