Pneumothorax post permanent pacemaker insertion

Case contributed by A.Prof Frank Gaillard

Presentation

CXR obtained routinely after permanent pacemaker insertion.

Patient Data

Age: 80 years
Gender: Female
X-ray

Chest x-ray

Dual-lead PPM in situ. Absence of lung markings in the left apex suggest the presence of a pneumothorax although a lung edge cannot actually be demonstrated.

Inspiratory and expiratory films have been obtained. Left apical pneumothorax is confirmed best seen on the expiratory view. The apex of the partially collapsed lung reaches me sixth posterior rib.

Case Discussion

Pneumothorax is an uncommon complication of PPM insertion. This patient's pneumothorax resolved spontaneously. 

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Case information

rID: 15355
Published: 11th Oct 2011
Last edited: 16th Jul 2018
System: Chest, Cardiac
Inclusion in quiz mode: Included

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