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Ventricular Thrombosis During Permanent Endocardial Pacing in a Pediatric Patient with Hemorrheological Disorders
Author(s) -
BASTIA VITTORIA,
MENICHELLI ADRIANA,
COLLORIDI VINCENZO,
CAPUTO VELIA,
TRES JOLANDA,
PRINCIPE DOMENICO
Publication year - 1985
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1985.tb05745.x
Subject(s) - medicine , complication , ventricle , cardiology , transvenous pacing , thrombosis , heart failure , scintigraphy , surgery
Thrombosis in the right atrium or ventricle is a rare compli cation of permanent endocardial pacing in adults. To the best of our knowledge, this complication has not been previously reported at all in the pediatric age group. We report on a case of a 7‐year‐oId boy who had large left ventricular thrombi that occurred during permanent endocardial electrical stimulation. Subsequent pulmonary emboli complicated congestive heart failure in this patient. As a diagnostic approach, echocardiography and pulmonary perfusion scintigraphy were used. We comment on possible causes of this serious complication and suggest hemorrheological and platelet activation studies in patients with permanent endocardial pacing.