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American Journal of Roentgenology, Vol 172, 365-368, Copyright © 1999 by American Roentgen Ray Society

ARTICLES

Bronchopericardial fistula after placement of an automatic implantable cardioverter defibrillator: radiographic and CT findings

RL Nolan and HP McAdams
Department of Radiology, Queens University, c/o Kingston General Hospital, Ontario, Canada.

OBJECTIVE: We describe our experience with bronchopericardial fistula as a complication of infection in patients who have undergone placement of automatic implantable cardioverter defibrillator systems. CONCLUSION: Bronchopericardial fistula should be suspected in patients who present with hemoptysis and who have undergone placement of an automatic implantable cardioverter defibrillator using pericardial or epicardial defibrillator patches. Air between a defibrillator patch and the heart on chest radiographs or CT is diagnostic.
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