Document Detail

Upper-extremity deep vein thrombosis and downhill esophageal varices caused by long-term pacemaker implantation.
MedLine Citation:
PMID:  21224954     Owner:  NLM     Status:  MEDLINE    
Upper-extremity deep vein thrombosis is common after pacemaker or cardioverter-defibrillator implantation. Only 1% to 3% of patients with upper-extremity deep vein thrombosis become symptomatic. Downhill esophageal varices develop in the upper third of the esophagus as a result of the obstruction of the superior vena cava. Herein, we report the case of a 54-year-old man--a recipient of multiple implanted cardiac pacemakers--who presented with bilateral upper-extremity deep vein thrombosis. This severely symptomatic condition was complicated by very rare and life-threatening downhill varices of the upper esophagus, but without bleeding. To the best of our knowledge, this is the 1st report of this array of conditions.
Nurcan Basar; Kumral Cagli; Omer Basar; Nihat Sen; Ozgul Malcok Gurel; Ibrahim Akpinar; Mehmet Fatih Ozlu; Sarper Okten
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  37     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2010  
Date Detail:
Created Date:  2011-01-12     Completed Date:  2011-04-22     Revised Date:  2013-07-02    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  714-6     Citation Subset:  IM    
Department of Cardiology, Turkiye Yuksek Ihtisas Hospital, 06100, Ankara, Turkey.
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MeSH Terms
Esophageal and Gastric Varices / etiology*,  pathology
Fatal Outcome
Middle Aged
Pacemaker, Artificial / adverse effects*
Phlebography / methods
Severity of Illness Index
Tomography, X-Ray Computed
Treatment Refusal
Upper Extremity Deep Vein Thrombosis / etiology*,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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