Radiologists should be aware that right atrial pacemaker lead perforation can present as spontaneous right pneumothorax and pneumopericardium.
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Alerts clinicians to atypical lead perforation presentations; leaves open incidence and diagnostic algorithms in larger series.
A 75-year-old man presented with a spontaneous right pneumothorax and pneumopericardium following right atrial pacemaker lead perforation, which is a rare complication, with only two case reports being documented in the literature to the authors' knowledge. It is important that radiologists be aware of cardiac lead perforations, as they may be the first to diagnose this complication.
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Baird et al. (2014) studied this question.
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