Introduction
Pneumothorax after pacemaker implantation is a well-known complication,
reported in less than 1% of cases.1 The pneumothorax
occurs as a complication of transvenous access. Pneumopericardium along
with pneumothorax has been rarely reported to occur after pacemaker
implantation. With a left sided implantation, the mechanism of
pneumopericardium is different when it is associated with a right
pneumothorax vis a vis a left pneumothorax. In this report, we present
an interesting case with a novel mechanism of pneumopericardium
associated with left pneumothorax.