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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. (Level of Difficulty: Intermediate.).

Original publication

DOI

10.1016/j.jaccas.2019.07.038

Type

Journal article

Journal

JACC Case Rep

Publication Date

10/2019

Volume

1

Pages

381 - 384

Keywords

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