Acute pericarditis with cardiac tamponade induced by pacemaker implantation.
An 87-year-old woman was diagnosed with third-degree atrioventricular block and underwent pacemaker implantation. On postoperative day 12, she experienced cardiac tamponade that was suspected on computed tomography to be caused by lead perforation; therefore, we performed open-heart surgery. However, we could not identify a perforation site on the heart, and drained a 400-mL exudative pericardial effusion. Subsequently, we diagnosed the pericardial effusion as due to pericarditis induced by pacemaker implantation. It is sometimes difficult to distinguish pericarditis from pacemaker lead perforation, so both should be included in the differential diagnosis.
Department of Cardiovascular Surgery, Uji Tokushukai Medical Center, Uji City, Japan singaky@hotmail.com.
Masami
M
Shingaki
Department of Cardiovascular Surgery, Uji Tokushukai Medical Center, Uji City, Japan.
Yutaka
Y
Kobayashi
Department of Cardiovascular Surgery, Uji Tokushukai Medical Center, Uji City, Japan.
Haruo
H
Suzuki
D000369:Aged, 80 and over; D054537:Atrioventricular Block / Q000175:diagnosis / Q000628:therapy*; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010493:Pericarditis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011237:Predictive Value of Tests; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Cardiac tamponade; artificial; drainage; electrodes; implanted; pacemaker; pericardial effusion; pericarditis