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 treatment included insertion of an epicardial biventricular pacemaker and an implantable cardioverter-defibrillator.
Coleman
David B
DB
Department of Surgery, Columbia University College of Physicians and Surgeons, New York, New York, USA.
DeBarr
Dana M
DM
Morales
David L
DL
Spotnitz
Henry M
HM
D015906:Angioplasty, Balloon, Coronary; D002311:Cardiomyopathy, Dilated / Q000150:complications; D003327:Coronary Disease / Q000150:complications / Q000628:therapy; D017147:Defibrillators, Implantable; D003951:Diagnostic Errors; D006325:Heart Atria; D006327:Heart Block / Q000209:etiology / Q000628:therapy; D006331:Heart Diseases / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D011655:Pulmonary Embolism / Q000175:diagnosis; D017180:Tachycardia, Ventricular / Q000209:etiology; D017131:Thrombectomy; D013927:Thrombosis / Q000209:etiology* / Q000601:surgery