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Unusual pneumopericardium during permanent pacemaker implantation
  1. Ju-Yi Chen1,
  2. Yi-Shan Tsai2,
  3. Yi-Heng Li1
  1. 1Department of Internal Medicine, Hospital and College of Medicine, National Cheng Kung University, Tainan, Taiwan
  2. 2Department of Diagnostic Radiology, Hospital and College of Medicine, National Cheng Kung University, Tainan, Taiwan
  1. Correspondence to Professor Yi-Heng Li, Department of Internal Medicine, National Cheng Kung University Hospital, 138 Sheng Li Road, Tainan 704, Taiwan; heng{at}mail.ncku.edu.tw

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An 80-year-old man underwent permanent dual-chamber pacemaker implantation for his sick sinus syndrome. During the implantation procedure, the patient complained of mild shortness of breath after left subclavian vein puncture. Under fluoroscope, mild left pneumothorax was found. There was an airspace subsequently interposing between the main pulmonary artery and left atrial appendage with mild protrusion …

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