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Traumatic Right Atrium Perforation Causing a Pneumothorax and Pneumopericardium, Treated Conservatively.
Diva Maraj1, Omair Ahmed1, Muhammad Qureshi1
1Internal Medicine, Henry Ford Jackson Hospital, Jackson, USA.
Cureus
|March 22, 2024
Summary
Pacemaker implantation can rarely lead to pneumothorax and pneumopericardium. This case highlights conservative management for these rare complications following dual chamber pacemaker insertion.
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Case Reports
Background:
- Pacemaker insertion is a common procedure in the United States.
- Potential complications include pneumothorax and, rarely, pneumopericardium.
- Management guidelines for these rare complications remain unclear.
Observation:
- A patient presented with syncopal episodes requiring dual chamber pacemaker implantation.
- Following implantation, the patient developed pericarditis, pneumothorax, and left-sided pneumopericardium.
- This combination of pneumothorax and pneumopericardium is a rare finding.
Findings:
- The patient's pneumothorax and pneumopericardium were successfully managed conservatively.
- The patient experienced stable follow-up after hospitalization.
- This case suggests conservative treatment may be a viable option for select patients.
Implications:
- This case contributes to the limited literature on managing pneumothorax and pneumopericardium post-pacemaker insertion.
- Further research is needed to establish clear management guidelines.
- Conservative management may be considered for patients with these rare complications, depending on clinical status.
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