Intra-atrial thrombosis and pulmonary embolism complicating pacemaker leads for cardiac resynchronization therapy.
This is the first report of intracardiac thrombi and pulmonary embolism complicating pacemaker leads implanted for cardiac resynchronization therapy. Prompt diagnosis and successful therapy with a thrombolytic agent lead to a favourable outcome. This report suggests that long-term oral anticoagulation should be considered in patients with depressed left ventricular function undergoing cardiac resynchronization therapy in order to prevent this potentially serious complication.
Sbragia
Pascal
P
Division of Cardiology, University of Marseille, School of Medicine, Hôpital Nord, 13015 Marseille, France.
Nait-Saïdi
Lyassine
L
Trigano
Jacques Alexandre
JA
Saadjian
Alain
A
Barnay
Pierre
P
Lévy
Samuel
S
D000368:Aged; D006331:Heart Diseases / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology*; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000188:drug therapy / Q000209:etiology*