Contralateral pneumothorax and pneumopericardium after dual-chamber pacemaker implantation: Mechanism, diagnosis, and treatment Teerapat Nantsupawat,

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Contralateral pneumothorax and pneumopericardium after dual-chamber pacemaker implantation: Mechanism, diagnosis, and treatment Teerapat Nantsupawat, MD, Jian-Ming Li, MD, PhD, David G. Benditt, MD, Selcuk Adabag, MD, MSc HeartRhythm Case Reports Volume 4, Issue 6, Pages 256-259 (June 2018) DOI: 10.1016/j.hrcr.2018.03.001 Copyright © 2018 Terms and Conditions

Figure 1 Chest radiographs in the anteroposterior (left) and lateral (right) views show the right atrial lead in the anterolateral position of the right atrium and the right ventricular lead in the apical septum. No pneumothorax or hemothorax is seen. The implantable loop recorder is in an unusual position. HeartRhythm Case Reports 2018 4, 256-259DOI: (10.1016/j.hrcr.2018.03.001) Copyright © 2018 Terms and Conditions

Figure 2 Computed tomography in the coronal view reveals the right atrial lead tip perforated the anterolateral wall of the right atrium (arrow). HeartRhythm Case Reports 2018 4, 256-259DOI: (10.1016/j.hrcr.2018.03.001) Copyright © 2018 Terms and Conditions

Figure 3 A: Computed tomographic chest axial view lung window reveals a small pneumothorax along the medial aspect of the right upper lobe (arrowheads). B: Computed tomographic coronal view shows pneumopericardium posterior to the aorta (arrow). HeartRhythm Case Reports 2018 4, 256-259DOI: (10.1016/j.hrcr.2018.03.001) Copyright © 2018 Terms and Conditions