Document Detail

Biventricular pacemaker lead thrombosis: a rare case treated with surgical thrombectomy.
MedLine Citation:
PMID:  18852586     Owner:  NLM     Status:  MEDLINE    
Right cardiac thrombosis is an infrequent complication after pacemaker implant. We report a patient who received a biventricular implantable cardioverter defibrillator, with a large mobile thrombus, adherent to the left ventricular lead. This catheter was partially dislocated, with a large, mobile loop through the right atrium and right ventricle; so the lead thrombus could alternately obstruct the pulmonary valve and the tricuspid valve. We believe that this is the first case of left ventricular lead thrombosis, in which the surgical treatment included thrombectomy with conservation of the catheter that was anchored to the internal right atrial wall in order to limit its great motility, maintaining the contribution to the cardiac resynchronization.
Anna Maria Paino; Stefano Maffè; Nicolò Franchetti Pardo; Antonello Perucca; Pierfranco Dellavesa; Guido Lanzillo; Massimo Bielli; Fabiana Signorotti; Paola Paffoni; Franco Zenone; Umberto Parravicini; Federico Carola; Marco Zanetta
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  9     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-14     Completed Date:  2009-01-09     Revised Date:  2009-05-28    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1130-3     Citation Subset:  IM    
Division of Cardiology, Borgomanero Hospital, Italy.
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MeSH Terms
Anticoagulants / therapeutic use
Cardiac Surgical Procedures*
Defibrillators, Implantable / adverse effects*
Equipment Design
Thrombosis / etiology,  radiography,  surgery*
Treatment Outcome
Warfarin / therapeutic use
Reg. No./Substance:
0/Anticoagulants; 81-81-2/Warfarin

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