{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:09Z","timestamp":1756339569414,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,6,7]]},"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Implantation of cardiac devices is usually considered to be a safe procedure. Rare complications, such as pneumothorax, may occur after the procedure. The association with pneumopericardium or pneumomediastinum is even more uncommon. We present the case of a patient in his 70s, on haemodialysis, admitted for complete atrioventricular block. He underwent implantation of a dual-chamber pacemaker. He presented with chest pain the day after implantation. Chest CT scan revealed a pneumothorax associated with a pneumopericardium and pneumomediastinum \u2018pan pneumo\u2019, due to an atrial perforation. We opted for a conservative management strategy. Repeat CT scan of the chest 8 days after the procedure showed a complete resorption of the \u2018pan pneumo\u2019. The objective of this case report is to describe this rare complication and provide further insight into its management, particularly in the absence of specific guidelines.<\/jats:p>","DOI":"10.1136\/bcr-2024-260860","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T22:45:48Z","timestamp":1719441948000},"page":"e260860","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Pan pneumo: an unusual complication following pacemaker implantation"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9603-9715","authenticated-orcid":false,"given":"Hicham","family":"Kamal","sequence":"first","affiliation":[{"name":"Cardiology, Centre Hospitalier Henri Duffaut, Avignon, Provence-Alpes-C\u00f4te d'Azur, France"},{"name":"Faculty of Medicine, Pharmacy, and Dental Medicine of Fes, Fes, Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean Paul","family":"Faugier","sequence":"additional","affiliation":[{"name":"Cardiology, Centre Hospitalier Henri Duffaut, Avignon, Provence-Alpes-C\u00f4te d'Azur, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Dognin","sequence":"additional","affiliation":[{"name":"Cardiology, Centre Hospitalier Henri Duffaut, Avignon, Provence-Alpes-C\u00f4te d'Azur, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Barthez","sequence":"additional","affiliation":[{"name":"Cardiology, Centre Hospitalier Henri Duffaut, Avignon, Provence-Alpes-C\u00f4te d'Azur, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,6,26]]},"reference":[{"key":"2025082710473677000_17.6.e260860.1","unstructured":"DATA MCO \u2014 OCTOBRE 2022 \u2014 N\u00b07 \u2014 ACTIVIT\u00e9 DE CARDIOLOGIE INTERVENTIONNELLE. TOME 1."},{"key":"2025082710473677000_17.6.e260860.2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eus054"},{"key":"2025082710473677000_17.6.e260860.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2007.00699.x"},{"key":"2025082710473677000_17.6.e260860.4","doi-asserted-by":"crossref","first-page":"541","DOI":"10.2169\/internalmedicine.3729-19","article-title":"Postural conversion computed tomography for the diagnosis of pneumopericardium due to perforation by the active atrial lead","volume":"59","author":"Futami","year":"2020","journal-title":"Intern Med"},{"key":"2025082710473677000_17.6.e260860.5","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.hrcr.2018.03.001","article-title":"Contralateral pneumothorax and pneumopericardium after dual-chamber pacemaker implantation: mechanism, diagnosis, and treatment","volume":"4","author":"Nantsupawat","year":"2018","journal-title":"HeartRhythm Case Rep"},{"key":"2025082710473677000_17.6.e260860.6","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-226318","article-title":"Chest pain following permanent pacemaker insertion\u2026 a case of pneumopericardium due to atrial lead perforation","volume":"2018","author":"Aktaa","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025082710473677000_17.6.e260860.7","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1111\/j.1540-8159.2007.00575.x","article-title":"Prevalence and characterization of asymptomatic pacemaker and ICD lead perforation on CT","volume":"30","author":"Hirschl","year":"2007","journal-title":"Pacing Clin Electrophysiol"},{"key":"2025082710473677000_17.6.e260860.8","first-page":"1031","article-title":"Diagnosis and management of iatrogenic cardiac perforation caused by pacemaker and defibrillator leads","volume":"19","author":"Rajkumar","year":"2017","journal-title":"Europace"},{"key":"2025082710473677000_17.6.e260860.9","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1111\/j.1540-8159.2005.40063.x","article-title":"Pneumopericardium and pneumothorax after permanent pacemaker implantation","volume":"28","author":"Sebastian","year":"2005","journal-title":"Pacing Clin Electrophysiol"},{"key":"2025082710473677000_17.6.e260860.10","doi-asserted-by":"publisher","DOI":"10.1016\/S1099-5129(03)00093-X"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-260860","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:47:46Z","timestamp":1756316866000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-260860"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":10,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6,26]]},"published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1136\/bcr-2024-260860"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-260860","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}