左側鎖骨下からのアプローチによるスクリューイン心房リードにより右側気胸をきたしたと考えられた1例

概要

論文の詳細を見る
Right pneumothorax is a rare complication with left subclavian approach of permanent pace-maker implantation. We report 76 years-old Japanese man, who suffered from complete atrioventricular block and underwent dual chamber permanent pacemaker implantation. Screw-in atrial lead was positioned at atrial free wall with good threshold. A day after the implantation, he had severe chest pain and was diagnosed as right pneumothorax. There were no signs of cardiac tamponade or pacing failure. Atrial perforation was not apparent in echocardiogram or right atriography. Chest CT revealed air density area in pericardial cavity and mediastinum. This suggested that screw-in atrial lead perforated right pleura through right atrium. This case was treated by closed drainage successfully without recurrence. We should be careful to implant atrial screw-in lead and to observe closely after the implantation especially in elderly patient.
新潟大学の論文
2004-06-10