Recurrent pulmonary emboli and thrombus attached to a permanently implanted pacemaker wire in pregnancy.
We present a case of pacer wire thrombus and recurrent pulmonary emboli in pregnancy associated with a permanent pacemaker. Transthoracic echocardiography demonstrated a thrombus attached to the pacer wire at the point where it crossed the tricuspid valve. After the uncomplicated vaginal delivery, thrombolytic therapy was given. This thrombus persisted despite thrombolytic therapy. Consequently, the patient was referred for cardiac surgery. The suspected cause was confirmed during the surgery.
Bilge
M
M
Department of Cardiology, Medical Faculty, Yüzüncü Yil University, Van, Turkey.
Güler
N
N
Eryonucu
B
B
D000328:Adult; D004452:Echocardiography; D004567:Electrodes, Implanted; D019544:Equipment Failure Analysis; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006327:Heart Block / Q000151:congenital / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D010138:Pacemaker, Artificial; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging / Q000209:etiology*; D011263:Pregnancy Trimester, Third; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D013927:Thrombosis / Q000000981:diagnostic imaging*; D014261:Tricuspid Valve / Q000000981:diagnostic imaging