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A combination of rare complications 3 years after a dual-chamber pacemaker implantation.
Clin Res Cardiol ; 108(5): 465-467, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30259106
ABSTRACT
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.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Marca-Passo Artificial / Pneumopericárdio / Remoção de Dispositivo / Átrios do Coração / Traumatismos Cardíacos / Procedimentos Cirúrgicos Cardíacos / Hemoptise Tipo de estudo: Relato de casos Aspecto clínico: Etiologia / Prognóstico Limite: Feminino / Humanos Idioma: Inglês Revista: Clin Res Cardiol Assunto da revista: Cardiologia Ano de publicação: 2019 Tipo de documento: Artigo País de afiliação: Alemanha