Right atrial pacemaker lead thrombosis incidentally detected by transesophageal echocardiography.
In a 62-year-old man with permanent atrial fibrillation and recurrent stroke, a large right atrial thrombus attached to a permanent pacemaker lead was incidentally identified by transesophageal echocardiography. Surgical treatment, recommended because of the large dimensions of the mass, was refused by the patient, and thrombus was successfully dissolved by anticoagulant treatment. Pathogenesis of pacemaker lead thrombosis, clinical implications, diagnostic and therapeutic options are discussed.
Fabijanić
Damir
D
Department of Medicine, Division of Cardiology, University Hospital Split, Split, Croatia. damir.fabijanic@st.htnet.hr
Giunio
Lovel
L
Vujicić
Marija
M
Vuković
Ivica
I
Ermacora
Ratko
R
Knezević
Nebojsa
N
D000925:Anticoagulants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000628:therapy; D017548:Echocardiography, Transesophageal; D006325:Heart Atria; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology*
D000925:Anticoagulants