Challenging Permanent-Pacemaker Implantation in a Patient with Postpneumonectomy-like Syndrome as a Late Sequela of Treated Pulmonary Tuberculosis-Juniper Publishers
JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract A 55-year-old male, from the Dominican Republic, with a history of treated pulmonary tuberculosis of the right lung, presents to the primary care clinic with a history of several months of palpitations, unrelated to physical activity. Chest imaging showed right lung peripheral pleural thickening and parenchymal volume loss with mediastinal shift to the right. Subsequent Pulmonary Function Tests: showed severe airway obstruction, without response to bronchodilators and severely decreased total lung capacity and diffusing capacity. EKG: sinus rhythm. The patient was then diagnosed with the Post-pneumonectomy-like syndrome. Due to persistent palpitations, the patient was referred to the Cardiology clinic. ECHO was normal. Holter monitor with sinus pauses of up to 10.6 seconds. After this abnormal finding, he was diagnosed with sick sinus syndrome and referred to the Electrophysiolo...