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Document Details :
Title: Pneumopericardium: an uncommon complication of atrial lead perforation following pacemaker implantation
Author(s): J. Higny , D. Blommaert
Journal: Acta Cardiologica
Volume: 69 Issue: 2 Date: 2014
Cardiac perforation is an infrequent but potentially life-threatening complication of pacemaker implantation. We report a case of right atrial lead perforation complicated by pneumopericardium shortly after pacemaker lead insertion. Transthoracic echocardiography revealed no evidence of pericardial effusion and pacemaker lead displacement, but a thoracic computed tomography scan illustrated the lead course and confirmed the diagnosis. This case suggests that computed tomography is a sensitive modality to confirm the diagnosis at the early stage of this complication.