Images in medicine
Uncommon complication of late perforation of the right atrium with active fixation atrial electrode
Complicación poco frecuente de perforación tardía de la aurícula derecha conelectrodo auricular de fijación activa
a Department of Critical Care Medicine, Hospital Universitario Son Llàtzer, Palma de Mallorca, Spain
b Department of Cardiology, Hospital Universitario Son Llàtzer, Palma de Mallorca, Spain
c Department of Radiology, Hospital Universitario Son Llàtzer, Palma de Mallorca, Spain
d Institute of Investigation Sanitaria Illes Balears (IdISBa), Palma de Mallorca, Spain
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The contralateral bone exhibits a normal appearance (arrowhead).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Aleix Jareno-Badenas, Gary Amseian, Valèria Richart, Marta Porta-Vilaró" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Aleix" "apellidos" => "Jareno-Badenas" ] 1 => array:2 [ "nombre" => "Gary" "apellidos" => "Amseian" ] 2 => array:2 [ "nombre" => "Valèria" "apellidos" => "Richart" ] 3 => array:2 [ "nombre" => "Marta" "apellidos" => "Porta-Vilaró" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S260392492400020X?idApp=UINPBA00004N" "url" => "/26039249/0000000700000004/v1_202410240709/S260392492400020X/v1_202410240709/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in medicine</span>" "titulo" => "Uncommon complication of late perforation of the right atrium with active fixation atrial electrode" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Lorenzo Socias Crespí, Tomas Ripoll-Vera, Francisco Trucco Espinosa" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Lorenzo Socias" "apellidos" => "Crespí" "email" => array:1 [ 0 => "lsocias3@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "af0020" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Tomas" "apellidos" => "Ripoll-Vera" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "af0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "af0020" ] ] ] 2 => array:3 [ "nombre" => "Francisco Trucco" "apellidos" => "Espinosa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "af0015" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Department of Critical Care Medicine, Hospital Universitario Son Llàtzer, Palma de Mallorca, Spain" "etiqueta" => "a" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Department of Cardiology, Hospital Universitario Son Llàtzer, Palma de Mallorca, Spain" "etiqueta" => "b" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Department of Radiology, Hospital Universitario Son Llàtzer, Palma de Mallorca, Spain" "etiqueta" => "c" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Institute of Investigation Sanitaria Illes Balears (IdISBa), Palma de Mallorca, Spain" "etiqueta" => "d" "identificador" => "af0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Complicación poco frecuente de perforación tardía de la aurícula derecha conelectrodo auricular de fijación activa" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "f0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 900 "Ancho" => 945 "Tamanyo" => 103570 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "al0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="sp4000" class="elsevierStyleSimplePara elsevierViewall">Chest radiograph. anteroposterior view</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="p0005" class="elsevierStylePara elsevierViewall">A DDDR pacemaker was implanted in an 85-year-old woman due to symptomatic Mobitz II AV block. A month later, she went to the Emergency Department due to pleuritic chest pain in the right hemithorax in a stable hemodynamic and respiratory situation with oxygen saturation by pulse oximetry of 98% without oxygen supply. Posteroanterior chest X-ray (<a class="elsevierStyleCrossRef" href="#f0005">Fig. 1</a>), chest computed tomography (CT), and 3D VR (Volume rendering) chest CT (<a class="elsevierStyleCrossRef" href="#f0010">Fig. 2</a>, <a class="elsevierStyleCrossRef" href="#f0015">Fig. 3</a>) were performed. Right pneumothorax (black arrows) and introduction of the tip of the atrial electrocatheter into the pleural space (white arrows) due to late perforation of the right atrium were observed. An echocardiogram was performed, which ruled out a pericardial effusion. Surgical removal of the atrial lead was decided by the Cardiac Surgery Department, without complications.</p><elsevierMultimedia ident="f0005"></elsevierMultimedia><elsevierMultimedia ident="f0010"></elsevierMultimedia><elsevierMultimedia ident="f0015"></elsevierMultimedia><span id="s0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0005">Ethical considerations</span><p id="p0010" class="elsevierStylePara elsevierViewall">Patient written informed consent was obtained.</p></span><span id="s0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0010">Ethical committee</span><p id="p0015" class="elsevierStylePara elsevierViewall">Comité de Investigación de les ILLES BALEARS.</p><p id="p0020" class="elsevierStylePara elsevierViewall">Registry number.</p><p id="p0025" class="elsevierStylePara elsevierViewall">IB 5154/23</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "s0005" "titulo" => "Ethical considerations" ] 1 => array:2 [ "identificador" => "s0010" "titulo" => "Ethical committee" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2024-04-29" "fechaAceptado" => "2024-05-23" "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "f0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 900 "Ancho" => 945 "Tamanyo" => 103570 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "al0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="sp4000" class="elsevierStyleSimplePara elsevierViewall">Chest radiograph. anteroposterior view</p>" ] ] 1 => array:8 [ "identificador" => "f0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1148 "Ancho" => 945 "Tamanyo" => 139116 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "al0010" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="sp4001" class="elsevierStyleSimplePara elsevierViewall">3D VR chest tomography. Tip into pleural space</p>" ] ] 2 => array:8 [ "identificador" => "f0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 878 "Ancho" => 945 "Tamanyo" => 64818 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "al0015" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="sp4002" class="elsevierStyleSimplePara elsevierViewall">Chest computed tomography.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/26039249/0000000700000004/v1_202410240709/S2603924924000259/v1_202410240709/en/main.assets" "Apartado" => array:4 [ "identificador" => "80822" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imagen en medicina" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/26039249/0000000700000004/v1_202410240709/S2603924924000259/v1_202410240709/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2603924924000259?idApp=UINPBA00004N" ]
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