Maraj Diva, Ahmed Omair, Qureshi Muhammad, Othman Hussein
Internal Medicine, Henry Ford Jackson Hospital, Jackson, USA.
Cardiology, Henry Ford Jackson Hospital, Jackson, USA.
Cureus. 2024 Feb 20;16(2):e54566. doi: 10.7759/cureus.54566. eCollection 2024 Feb.
Pacemaker insertion is a daily occurrence in the United States of America, and it is a relatively common procedure; however, complications can occur. One common complication includes the development of a pneumothorax; however, there are rare instances where patients can develop a pneumopericardium as well. We present a case of a patient who underwent dual chamber pacemaker implantation complicated by a pneumothorax and left-sided pneumopericardium, which is a rare finding. This patient initially presented with syncopal episodes and a dual chamber pacemaker was inserted; however, not long after, the patient developed pericarditis and was found to have a pneumothorax and a pneumopericardium. In these cases, patients can be treated with chest tube insertion, lead extraction, or even conservatively, depending on the patient's clinical status. Various reasons exist for the development of a pneumothorax and pneumopericardium; however, the guidelines on management are still unclear and require further study. In our patient, his pneumothorax and contralateral pneumopericardium were treated conservatively with stable follow-up post-hospitalization.
在美国，起搏器植入是每天都会发生的事情，而且这是一个相对常见的手术；然而，也可能会出现并发症。一种常见的并发症包括气胸的发生；不过，也有罕见的情况是患者同时会出现心包积气。我们报告一例患者，其在接受双腔起搏器植入术后并发气胸和左侧心包积气，这是一种罕见的情况。该患者最初因晕厥发作就诊并植入了双腔起搏器；然而，不久后，患者发生了心包炎，并且被发现同时患有气胸和心包积气。在这些病例中，可根据患者的临床状况，通过插入胸管、拔除导线甚至采取保守治疗。气胸和心包积气的发生有多种原因；然而，关于其管理的指南仍不明确，需要进一步研究。在我们的患者中，其气胸和对侧心包积气采用保守治疗，出院后随访情况稳定。
