Bilateral Pneumothorax after pacemaker placement

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Case Report: Bilateral Pneumothorax after Pacemaker Placement Student’s NameDepartment of Internal medicine, Division of Pulmonary and Critical care, Good Samaritan hospital, Wright State University, Dayton, Ohio, USA.InstitutionStudent’s Contact Info.Professor’s Name Wd Count: 846 Abstract Bilateral pneumothoraces after unilateral subclavian vein cannulation, as a complication, is a rare occurrence. It is usually associated with an intrapleural communication which can be congenital or formed following cardiothoracic and mediastinal surgeries, or trauma. The term Buffalo chest was used to define a single chest cavity with no anatomic separation of the two hemithoraces. It is called Buffalo chest because this unique chest anatomy of the American buffalo, or Bison, helped hunters to kill them by a single arrow to the chest which was enough to let air in to collapse both lungs. However, the Pleural cavities in humans are separated entirely from each other. We described an 83-year-old female without any known lung disease, underwent Dual chamber permanent pacemaker placement for symptomatic intermittent complete heart block and paroxysmal atrial fibrillation, using the left subclavian vein as a site of venous entry, who developed bilateral pneumothorax after the procedure. She had no prior history of cardiothoracic surgery or Trauma. The Bilateral Pneumothorax was utterly resolved after single left-sided Thoracostomy tube placement suggesting the patient had “Buffalo chest. Keywords: Pneumothorax, Buffalo chest, Pacemaker. Table of Contents TOC o "1-3" h z u Abstract PAGEREF _Toc506667739 h 2Introduction PAGEREF _Toc506667740 h 4Case Report PAGEREF

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