Pacemaker Lead Thrombosis Treated With Atrial Thrombectomy and Biventricular Pacemaker and Defibrillator Insertion

Right atrial thrombosis and pulmonary embolism are infrequent complications of pacemaker insertion. We report a patient with a large mobile thrombus on an endocardial DDD pacing lead and probable pulmonary embolism. We believe that this is the first case of pacemaker lead thrombosis in which treatme...

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Veröffentlicht in:	The Annals of thoracic surgery 2004-11, Vol.78 (5), p.e83-e84
Hauptverfasser:	Coleman, David B., DeBarr, Dana M., Morales, David L., Spotnitz, Henry M.
Format:	Artikel
Sprache:	eng
Schlagworte:	Angioplasty, Balloon, Coronary Cardiomyopathy, Dilated - complications Coronary Disease - complications Coronary Disease - therapy Defibrillators, Implantable Diagnostic Errors Heart Atria Heart Block - etiology Heart Block - therapy Heart Diseases - etiology Heart Diseases - surgery Humans Male Middle Aged Pacemaker, Artificial - adverse effects Postoperative Complications - etiology Postoperative Complications - surgery Postoperative Complications - therapy Pulmonary Embolism - diagnosis Tachycardia, Ventricular - etiology Thrombectomy Thrombosis - etiology Thrombosis - surgery
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Beschreibung
Zusammenfassung:	Right atrial thrombosis and pulmonary embolism are infrequent complications of pacemaker insertion. We report a patient with a large mobile thrombus on an endocardial DDD pacing lead and probable pulmonary embolism. We believe that this is the first case of pacemaker lead thrombosis in which treatment included insertion of an epicardial biventricular pacemaker and an implantable cardioverter-defibrillator.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2003.09.115