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Case Reports in Critical Care
Volume 2017, Article ID 3291751, 3 pages
https://doi.org/10.1155/2017/3291751
Case Report

Iatrogenic Right-Sided Pneumothorax Presenting as ST-Segment Elevation: A Rare Case Report and Review of Literature

1Department of Internal Medicine, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA
2Faculty of Medicine, University of Jordan, Amman, Jordan
3Division of Pulmonary and Critical Care Medicine, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA

Correspondence should be addressed to Bashar Alzghoul; ude.smau@luohgzlanb

Received 17 January 2017; Accepted 16 March 2017; Published 26 March 2017

Academic Editor: Chiara Lazzeri

Copyright © 2017 Bashar Alzghoul et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pneumothorax is a well-recognized complication of central venous line insertion (CVL). Rarely, pneumothorax can lead to electrocardiogram (ECG) findings mimicking ST-segment elevation myocardial infarction. We present a 63-year-old man with iatrogenic right-sided pneumothorax who developed ST-segment elevation on a 12-lead ECG suggestive of myocardial infarction. The ECG findings completely resolved after needle decompression and chest tube placement. This case points up this rare electrocardiographic finding with discussion of possible mechanisms and differential diagnosis.