Table 1.
Published case reports with contralateral pneumothorax and pneumopericardium
| Authors | Patient | Atrial lead and position | Symptoms/signs | Postimplant | Abnormal test results | Severity | Treatment |
|---|---|---|---|---|---|---|---|
| Sebastian et al5 | 73-yr-old man with COPD and Mobitz type II AV block | Active fixation (CapSureFix Novus, Medtronic) Anterolateral RA |
Sudden pleuritic chest pain | 2 days | CXR: Yes CT: Yes Interrogate: No |
50% PTx, moderate-sized pneumopericardium | Chest tube |
| Srivathsan et al4 | 77-yr-old woman with COPD and 4.5-s sinus pause | Active fixation (Model 5076, Medtronic) Anterolateral RAA |
Shortness of breath | 8 hours | CXR: Yes CT: Yes Interrogate: No |
30% PTx, moderate-sized pneumopericardium | Chest tube, atrial lead extraction |
| Nantsupawat et al (our case) | 83-yr-old man with CAD, CMP, tachy-brady syndrome | Active fixation (Ingevity7740, Boston Scientific) Anterolateral RA |
Neck and pleuritic chest pain | 1 day | CXR: No CT: Yes Interrogate: No |
<10% PTx, small pneumopericardium | Oxygen, observe |
CAD = coronary artery disease; CMP = cardiomyopathy; COPD = chronic obstructive pulmonary disease; CT = computed tomography; CXR = chest x-ray (radiography); PTx = pneumothorax; RA = right atrium; RAA = right atrial appendage.