ABSTRACT
Implantation of cardiac devices is usually considered to be a safe procedure. Rare complications, such as pneumothorax, may occur after the procedure. The association with pneumopericardium or pneumomediastinum is even more uncommon. We present the case of a patient in his 70s, on haemodialysis, admitted for complete atrioventricular block. He underwent implantation of a dual-chamber pacemaker. He presented with chest pain the day after implantation. Chest CT scan revealed a pneumothorax associated with a pneumopericardium and pneumomediastinum 'pan pneumo', due to an atrial perforation. We opted for a conservative management strategy. Repeat CT scan of the chest 8 days after the procedure showed a complete resorption of the 'pan pneumo'. The objective of this case report is to describe this rare complication and provide further insight into its management, particularly in the absence of specific guidelines.
Subject(s)
Mediastinal Emphysema , Pacemaker, Artificial , Pneumopericardium , Pneumothorax , Humans , Pacemaker, Artificial/adverse effects , Male , Aged , Pneumothorax/etiology , Pneumothorax/diagnostic imaging , Pneumopericardium/etiology , Pneumopericardium/diagnostic imaging , Mediastinal Emphysema/etiology , Mediastinal Emphysema/diagnostic imaging , Atrioventricular Block/therapy , Atrioventricular Block/etiology , Tomography, X-Ray Computed , Heart Atria/diagnostic imaging , Heart Atria/injuries , Chest Pain/etiologyABSTRACT
Dengue is a febrile viral illness transmitted by Aedes Aegypti mosquito with growing incidence, it could be associated with cardiovascular complication mediated by inflammation and notably acute myocarditis. We report the case of a 36-year old woman admitted in cardiology department with initial diagnosis of acute coronary syndrome and ultimately diagnosed to have an acute myocarditis induced by dengue infection; we describe diagnostic modalities and clinical evolution.
