Intracardiac thrombosis associated with a pacemaker lead in a patient with antiphospholipid syndrome
DOI:
https://doi.org/10.37615/retic.v5n1a8Keywords:
intracardiac thrombus, transthoracic echocardiography, transesophageal echocardiography.Abstract
We introduce the case of a patient with a dual-chamber permanent pacemaker who was admitted because of an initial diagnosis of pulmonary thromboembolism. In the CT scan a filling defect in the right atrium (RA) was detected. A transthoracic echocardiogram was performed and a large mobile mass was observed in the RA attached to the atrial pacemaker lead compatible with thrombus due to its characteristics and location. The presence of antiphospholipid syndrome was detected as a predisposing prothrombotic cause. Medical treatment with indefinite
anticoagulation was chosen due to the clinical stability of the patient.
Downloads
Metrics
References
Kirkfeldt RE, Johansen JB, Nohr EA, Moller M, Arnsbo P, Nielsen JC. Risk factors for lead complications in cardiac pacing: a population-based cohort study of 28,860 Danish patients. Heart Rhythm. 2011;8:1622-8.
Udo EO, Zuithoff NP, Van Hemel NM, De Cock CC, Hendriks T, Doevendans PA et al. Incidence and predictors of short- and long-term complications in pacemaker therapy: the FOLLOWPACE study. Heart Rhythm. 2012;9:728-35.
European Society of Cardiology (ESC); European Heart Rhythm Association (EHRA), Brignole M, et al. 2013 ESC guidelines on cardiac pacing and cardiac resynchronization therapy: the task force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Europace. 2013;15(8):1070-1118.
Van Rooden CJ, Molhoek SG, Rosendaal FR, Schalij MJ, Meinders AE, Huisman MV. Incidence and risk factors of early venous thrombosis associated with permanent pacemaker leads. J Cardiovasc Electrophysiol. 2004;15:1258–62.
Silva Marques J, Varela MG, Ferreira R, Nobre A, Almeida AG, de Sousa J. Intracardiac sterile pacemaker lead thrombosis. Rev Esp Cardiol (Engl Ed). 2012 Feb;65(2):193-4. English, Spanish.
Carda R, Almería C, Lennie V, Serra V, Zamorano JL. What to do with an atrial thrombus? Eur J Echocardiogr. 2008 Jan;9(1):204-5.
D’Aloia A, Bonadei I, Vizzardi E, Curnis A. Right giant atrial thrombosis and pulmonary embolism complicating pacemaker leads. BMJ Case Rep. 2013;2013:bcr2012008017.
Da Costa SS, Scalabrini Neto A, Costa R, Caldas JG, Martinelli Filho M. Incidence and risk factors of upper extremity deep vein lesions after permanent transvenous pacemaker implant: a 6-month follow-up prospective study. Pacing Clin Electrophysiol. 2002;25:1301–6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Marina Povar Echeverría, Gabriel Hurtado Rodríguez, Eva María Moreno Esteban, Pablo Esteban Auquilla Clavijo
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
RETIC is distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license https://creativecommons.org/licenses/by-nc-nd/4.0 which allows sharing, copying and redistribution of the material in any medium or format, under the following terms:
- Attribution: you must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests that the licensor endorses you or your use.
- Non-commercial: you may not use the material for commercial purposes.
- No Derivatives: if you remix, transform or build upon the material, you may not distribute the modified material.
- No Additional Restrictions: you may not apply legal terms or technological measures that legally restrict others from doing anything permitted by the license.