Cardiac tamponade with pneumothorax- An unusual life threatening
complication following permanent pacemaker implantation.
- RUPESH KUMAR,
- Sanjib Rawat,
- Vikram Halder,
- SHEENAM WALIA,
- BANASHREE MANDAL,
- Shyam Thingnam
Sanjib Rawat
Post Graduate Institute of Medical Education and Research
Author ProfileVikram Halder
Post Graduate Institute of Medical Education and Research
Author ProfileSHEENAM WALIA
Post Graduate Institute of Medical Education and Research
Author ProfileBANASHREE MANDAL
Post Graduate Institute of Medical Education and Research
Author ProfileShyam Thingnam
Post Graduate Institute of Medical Education and Research
Author ProfileAbstract
Permanent pacemaker implantation is life saving but sometimes the
procedure may itself become life threatening. Right ventricular
perforation is a rare complication during pacemaker insertion that could
be life-threatening and need immediate intervention. Chest X-ray,
echocardiogram and computer tomogram of chest are used to diagnose lead
migration and its complications. We present a rarest of the rare case in
which a seventy six year old patient undergoing permanent pacemaker
implantation suffered both iatrogenic cardiac injury leading to
hemopericardium and pacemaker malfunction as well as injury to left
pleura leading to massive pneumothorax and hemodynamic instability which
was managed successfully.