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Delayed isolated hemothorax caused by temporary pacemaker: a case report.

Hung Yi Chen

    International Journal of Cardiology
    |November 10, 2006
    PubMed
    Summary
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    A rare delayed hemothorax occurred in an elderly patient following temporary pacemaker insertion. This complication, a significant hemothorax without pericardial effusion, highlights potential risks of transvenous pacing.

    Area of Science:

    • Cardiology
    • Medical Complications
    • Interventional Procedures

    Background:

    • Transvenous temporary pacemaker insertion is a common procedure for managing bradyarrhythmias.
    • Complete atrioventricular conduction block necessitates pacing to maintain adequate heart rate.
    • Potential complications, though rare, require careful consideration and monitoring.

    Observation:

    • An 81-year-old male presented with dysarthria and complete atrioventricular conduction block.
    • A temporary pacemaker was successfully inserted.
    • Nine days post-insertion, the patient developed a massive hemothorax.

    Findings:

    • Echocardiography and chest computed tomography ruled out pericardial effusion.
    • The hemothorax was identified as a delayed complication of the transvenous pacemaker insertion.

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  • This presentation is unusual, lacking the typical associated pericardial effusion.

    • Implications:

    • Delayed hemothorax is a rare but serious complication of transvenous pacemaker procedures.
    • The absence of pericardial effusion in this case presents a unique clinical scenario.
    • Awareness of this potential complication is crucial for clinicians managing patients with temporary pacemakers.