Cardioverter-defibrillator lead-related thrombus treated with prolonged anticoagulation in patient with prothrombotic disorder.
Following an accidental finding of a large atrial lead-related thrombus in a 33-year-old woman with suspected prothrombotic disorder, a conservative treatment with low molecular weight heparin injections and close transthoracic and transesophageal echocardiographic monitoring was used. It led to a complete resolution of the thrombus in 4 weeks without the need for a high-risk operation in this patient.
Malek
Lukasz A
LA
1st Department of Coronary Artery Disease and 2nd Catheterization Laboratory, Institute of Cardiology, Warsaw, Poland. lmalek@ikard.pl
Chojnowska
Lidia
L
Konka
Marek
M
Klopotowski
Mariusz
M
Skwarek
Miroslaw
M
Maczynska
Renata
R
Hoffman
Piotr
P
Ruzyllo
Witold
W
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D016736:Antiphospholipid Syndrome / Q000150:complications* / Q000188:drug therapy; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004452:Echocardiography; D017984:Enoxaparin / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*
D000925:Anticoagulants; D017984:Enoxaparin