Contralateral Pneumothorax in Left Sided CRT Device Implantation
نویسندگان
چکیده
A 78-year-old male patient underwent implantation of cardiac resynchronization devise with defibrillator (CRT-D) for dilated cardiomyopathy and congestive cardiac failure. Patient received a Guidant CRT-ICD. RV lead during implantation, subclavian access was obtained by venogram assisted extra thoracic puncture of the subclavian vein. Right atrial (RA) lead was initially attempted in the right atrial appendage (RAA), but the sensing and pacing thresholds were found unacceptable and right atrial free wall was chosen after few initial trials in RAA. The atrial lead was an active fixation lead, Guidant Flextend SN 4087. Right ventricular (RV) lead (Guidant Endotak Reliance SN 184420) was positioned at RV apex and left ventricular lead (Guidant easy track 2) was positioned in posterolateral tributary of coronary sinus. Patient tolerated the procedure well and there were no acute complications. Immediate post operative X ray of the chest showed satisfactory lead positions without any evidence of any pleural pathology (Figure 1 A)
منابع مشابه
Bilateral Pneumothoraces Following BiV ICD Placement: A Case of Buffalo Chest Syndrome
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