Ishizue Naruya, Kishihara Jun, Niwano Shinichi, Ako Junya
Department of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
J Arrhythm. 2017 Aug;33(4):335-337. doi: 10.1016/j.joa.2017.03.003. Epub 2017 May 4.
Pneumothorax contralateral to the venous access site due to the right atrial lead is an uncommon complication. Concomitant steroid use is known as a risk factor of pacemaker lead perforation. We report a rare case of subacute contralateral pneumothorax due to a screw-in atrial lead perforation that occurred after dual-chamber pacemaker implantation in a patient who was receiving steroid therapy. The pneumothorax disappeared, and no recurrence was observed during follow-up with close observation alone.
右心房导线导致的与静脉穿刺部位对侧的气胸是一种罕见的并发症。同时使用类固醇被认为是起搏器导线穿孔的一个危险因素。我们报告了一例罕见的亚急性对侧气胸病例,该病例是由于一名正在接受类固醇治疗的患者在植入双腔起搏器后发生了旋入式心房导线穿孔所致。气胸消失,在仅密切观察的随访期间未观察到复发。