Figure legends
Figure 1. a. Chest X-ray frontal view soon after left intercostal tube drainage, showing pneumopericardium (bold arrow) and left pneumothorax. b. Chest X-ray frontal view after 3 days, demonstrating complete resolution of pneumothorax and pneumopericardium.
Figure 2. Axial section of HRCT chest demonstrating epicardial LV lead puncturing the pericardium (bold arrow) through the left pleural cavity, making a communication between the two. Also note, air in the pericardial cavity seen on the CT scan image and the presence of extrathoracic emphysema secondary to intercostal drainage.