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Cardiac tamponade with pneumothorax- An unusual life threatening complication following permanent pacemaker implantation.
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  • RUPESH KUMAR,
  • Sanjib Rawat,
  • Vikram Halder,
  • SHEENAM WALIA,
  • BANASHREE MANDAL,
  • Shyam Thingnam
RUPESH KUMAR
Post Graduate Institute of Medical Education and Research, Postgraduate lnstitute of Medical Education and Research
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Sanjib Rawat
Post Graduate Institute of Medical Education and Research
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Vikram Halder
Post Graduate Institute of Medical Education and Research
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SHEENAM WALIA
Post Graduate Institute of Medical Education and Research
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BANASHREE MANDAL
Post Graduate Institute of Medical Education and Research
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Shyam Thingnam
Post Graduate Institute of Medical Education and Research
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Abstract

Permanent pacemaker implantation is life saving but sometimes the procedure may itself become life threatening. Right ventricular perforation is a rare complication during pacemaker insertion that could be life-threatening and need immediate intervention. Chest X-ray, echocardiogram and computer tomogram of chest are used to diagnose lead migration and its complications. We present a rarest of the rare case in which a seventy six year old patient undergoing permanent pacemaker implantation suffered both iatrogenic cardiac injury leading to hemopericardium and pacemaker malfunction as well as injury to left pleura leading to massive pneumothorax and hemodynamic instability which was managed successfully.