title: Thrombus on pacemaker lead.
abstract: A 58-year-old male was admitted with history of shortness of breath and recurrent fever since two months. He had undergone permanent pacemaker implantation six years back for complete heart block. The patient was persistently having thrombocytopenia. Echocardiographic examination revealed mass (size 4.28 cm(2)) attached to pacemaker lead in right atrium. The patient was scheduled for open-heart surgery for removal of right atrial mass. During surgery, pacemaker leads and pulse generator were also removed along with mass considering the possible source of infection.
authors.affiliation: Consultant, Department of Cardiac Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India. Electronic address: drmonishraut@gmail.com.
authors.forename: Monish S
authors.initials: MS
authors.lastname: Raut
authors.affiliation: Consultant, Department of Cardiac Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Maheshwari
authors.affiliation: Consultant, Department of Cardiac Surgery, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Sumir
authors.initials: S
authors.lastname: Dubey
mesh_terms: D006348:Cardiac Surgical Procedures; D020878:Device Removal; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000601:surgery*
keywords: Infective endocarditis; Pacemaker leads; Thrombocytopenia