Key result
Conservative management with serial CT scans successfully resolved an intramural aortic hematoma and acute pulmonary embolism following pacemaker implantation.
Why the study?
Bleeding complications following pacemaker implantation carry risks such as infection and extended hospitalization.
Case Report (n=1)
This case highlights a rare complication of intramural aortic hematoma and acute pulmonary embolism following pacemaker implantation, which was successfully managed conservatively.
Bleeding complications after pacemaker implantation pose risks, including infection and prolonged hospital stay. A case involving intramural aortic hematoma (IMH) arising from subclavian vein access during implantation and concomitant acute pulmonary embolism (PE) is presented. In the present case, IMH probably resulted from subclavian artery vasa vasorum trauma during vein puncture and guidewire advancement, leading to IMH and hemothorax. PE possibly stemmed from a prothrombotic state caused by intervention and IMH. A conservative management with seriate CT scans was chosen due to hemodynamic stability and high surgical risk, with IMH resolution confirmed on follow-up.
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Monaco et al. (2023) conducted a case report in Intramural aortic hematoma and acute pulmonary embolism (n=1). Pacemaker implantation was evaluated on Resolution of intramural hematoma. Conservative management with serial CT scans successfully resolved an intramural aortic hematoma and acute pulmonary embolism following pacemaker implantation.
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