Matthia E, Matar R, Altshuler E, Kerensky RA, Arnaoutakis G, Shah S, Omar A, Agarwal Z, Miles W, Xiang K. Massive Tension Hemothorax After Pacemaker Implantation.
Cureus 2021;
13:e16754. [PMID:
34513377 PMCID:
PMC8405410 DOI:
10.7759/cureus.16754]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/20/2021] [Indexed: 11/15/2022] Open
Abstract
A case of an 85-year-old male on apixaban and clopidogrel undergoing pacemaker implantation is described. After procedure he developed unilateral tension hemothorax and required emergent drainage and exploratory thoracotomy. No vascular, cardiac, or pulmonary source was identified. After multidisciplinary discussions, it was speculated that spontaneous intercostal vessel rupture due to forceful coughing and elevated blood pressure during the procedure was the most likely cause of bleeding.
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