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J Thorac Cardiovasc Surg 2006;131:480-481
© 2006 The American Association for Thoracic Surgery

Brief Communication

Delayed cardiac tamponade by iatrogenic aortic perforation with pacemaker implantation

Charles C. Sticco, DO a , b , * , Leonard O. Barrett, MD, FACS a , b

a Department of Thoracic Surgery, Surgical Critical Care, Nassau University Medical Center, East Meadow, NY
b Department of General Surgery, Nassau University Medical Center, East Meadow, NY

Received for publication August 7, 2005; accepted for publication August 23, 2005.

* Address for reprints: Charles C. Sticco, DO, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554 (Email: csticco@numc.edu).

The first 20% of the full text of this article appears below.

The clinical and mechanical complications after permanent pacemaker placement have been cited in the literature. Postpericardiotomy syndrome, 1 Go superior vena caval injury, 2 Go and ventricular perforation by pacer leads have all been reported. To date, only one instance of aortic perforation caused by pacemaker placement has been described. 3 Go

This article presents an occurrence of this rare complication occurring 2 weeks after permanent pacemaker implantation.

Clinical Summary

A 56-year-old white man was brought to the emergency department (ED) for a syncopal episode. The patient reported feeling dizzy and collapsing, with associated headache, nausea, and vomiting. There was no history of chest trauma; the patient's past surgical history was notable for elective placement of a transvenous DDD pacemaker 2 weeks before at a local hospital. Significant past medical history included syncope, bradycardia, hypertension, and coronary artery disease. Current medications included aspirin and metoprolol.

The patient was alert and in mild distress. Pulse was 126 beats/min, blood pressure was 84/64 mm . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
M.-L. Kaljusto and T. Tonnessen
Aortic perforation with cardiac tamponade two weeks after pacemaker implantation
J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 502 - 503.
[Full Text] [PDF]


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