Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
Department of Radiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
J Cardiovasc Electrophysiol. 2023 Jun;34(6):1473-1476. doi: 10.1111/jce.15930. Epub 2023 May 24.
Atrial lead perforation may lead to pneumopericardium or pneumothorax within a few days of device implantation.
We report a case of atrial lead perforation 6 years after cardiac resynchronization therapy implantation, which resulted in pneumopericardium and pneumothorax.
Although pneumopericardium caused by atrial lead perforation can spontaneously resolve with conservative treatment, as it did in this case, treatment should be decided based on the patient's general condition and lead performance.
心脏再同步治疗植入后数天内，心房间隔导联穿孔可能导致气心包或气胸。
我们报告了 1 例心脏再同步治疗植入 6 年后发生的心房间隔导联穿孔导致气心包和气胸的病例。
尽管心房间隔导联穿孔引起的气心包可以通过保守治疗自行缓解，如同本例患者一样，但应根据患者的一般情况和导联性能来决定治疗方案。
