Document Detail

Left atrial thrombus after biventricular pacemaker implantation.
MedLine Citation:
PMID:  19318359     Owner:  NLM     Status:  MEDLINE    
We report the case of a patient with ischaemic cardiomyopathy who was admitted to our hospital for an echocardiographic follow-up a few days after the implantation of a biventricular pacemaker/defibrillator. Transthoracic echocardiographic examination revealed an immobile echogenic mass attached to the left atrial side of the fossa ovalis which was not present a month before the biventricular pacemaker implantation. Because the images of the pre-operative echocardiogram were not available at the time of the examination, the differential diagnosis included a tumour or a thrombus formed on the left side of intra-atrial septum. The use of low myocardial infarction contrast echocardiography and power Doppler clarified the lack of microcirculation and blood flow within the mass, respectively, and confirmed the diagnosis of thrombus. After an episode acute renal failure, the thrombus was absent at a follow-up echocardiogram presumably because of peripheral embolization.
Ignatios Ikonomidis; Costas Papadopoulos; Panayota Flevari; Ioannis Paraskevaidis; John Lekakis; Dimitrios T Kremastinos
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-03-23
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  10     ISSN:  1532-2114     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-01     Completed Date:  2009-07-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  582-4     Citation Subset:  IM    
Second Department of Cardiology, Attikon Hospital, School of Medicine, University of Athens, 1 Rimini Street, Athens 12462, Greece.
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MeSH Terms
Cardiomyopathies / therapy,  ultrasonography
Diagnosis, Differential
Echocardiography, Doppler
Heart Atria / ultrasonography
Pacemaker, Artificial / adverse effects*
Thrombosis / etiology,  ultrasonography*

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