A combination of rare complications 3 years after a dual-chamber pacemaker implantation
| Autor: | Martin Huemer, Christoph T Starck, Patrick Nagel, Tobias Schreiber, Philipp Attanasio, Ulf Landmesser, Stefan M. Niehues, Verena Tscholl |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Hemoptysis Pacemaker Artificial Time Factors Perforation (oil well) Pneumopericardium 030204 cardiovascular system & hematology Chest pain Right atrial Asymptomatic Pacemaker implantation 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans 030212 general & internal medicine Heart Atria Cardiac Surgical Procedures Atrioventricular Block Device Removal Dual Chamber Pacemaker Aged 80 and over Lung business.industry General Medicine medicine.disease medicine.anatomical_structure Heart Injuries Echocardiography Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business Tomography X-Ray Computed Follow-Up Studies |
| Zdroj: | Clinical research in cardiology : official journal of the German Cardiac Society. 108(5) |
| ISSN: | 1861-0692 |
| Popis: | Late perforation of the atrial wall after pacemaker implantation frequently remains asymptomatic but may cause chest pain, dyspnea or syncope. Perforation can also lead to rarer complications such as hemoptysis and pneumopericardium. We present the case of a patient who developed progressive hemoptysis 3 years after a dual-chamber pacemaker implantation. Pacemaker interrogation showed stable impedance of the right atrial lead and stable pacing threshold values. CT revealed perforation of the right atrial wall by the RA-lead with consecutive pneumopericardium and diffuse lung bleeding of the right middle lobe. The patient was hemodynamically stable at all times. The right atrial lead was transvenously extracted and replaced without any further complications. |
| Databáze: | OpenAIRE |
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