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Early Pacemaker Lead Thrombosis Leading to Massive Pulmonary Embolism
Author(s) -
Karavidas Apostolos,
Lazaros George,
Matsakas Evangellos,
Kouvousis Nicolaos,
Samara Christiana,
Christoforatou Evangellia,
Zacharoulis Apostolos
Publication year - 2004
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.0742-2822.2004.03078.x
Subject(s) - medicine , thrombus , pulmonary embolism , warfarin , complication , thrombosis , cardiology , transvenous pacing , heparin , embolism , surgery , venous thrombosis , radiology , atrial fibrillation
Clinically apparent pulmonary embolism is a rare complication of permanent transvenous pacing catheters. Here we report an unusual case of a 71‐year‐old man who developed massive pulmonary embolism 12 hours after a permanent transvenous pacemaker implantation in the absence of any patient‐related predisposing factor. Transesophageal echocardiography showed a large thrombus within the right atrium closely attached to the pacemaker lead. Anticoagulation with heparin, followed by warfarin therapy, led to a complete resolution of the thrombus. (ECHOCARDIOGRAPHY, Volume 21, July 2004)