Cardiac tamponade with pneumothorax- An unusual life threatening
complication following permanent pacemaker implantation.
AbstractPermanent 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.