Acute transvenous pacemaker lead thrombosis early after implantation: A rare clinical scenario.
Guillaume DomainCamille StrubéBenoit PlourdeChristian SteinbergJean-François SarrazinKarine RoyPaul PoirierFrançois PhilipponPublished in: Pacing and clinical electrophysiology : PACE (2022)
Symptomatic thrombus formation due to a permanent pacemaker (PM) lead is a rare complication. It could be associated with serious outcome and should be suspected in patients who present with unexplained right heart failure, dyspnea, or syncope following dual-chamber PM implantation. A timely decision to perform an echocardiographic examination, followed by medical, thrombolytic, or surgical treatment can be necessary. We describe the case of an 84-year-old man who presented with syncope and hypotension a few days after PM implantation. A transesophageal echocardiography revealed a mobile mass in the right atrium attached to the pacemaker lead. Intravenous heparin allowed a complete resolution of the thrombus.
Keyphrases
- pulmonary embolism
- vena cava
- inferior vena cava
- particulate matter
- air pollution
- left ventricular
- heart failure
- polycyclic aromatic hydrocarbons
- heavy metals
- pulmonary hypertension
- water soluble
- liver failure
- healthcare
- computed tomography
- left atrial appendage
- high dose
- respiratory failure
- pulmonary artery
- mitral valve
- venous thromboembolism
- single molecule
- decision making
- growth factor
- hepatitis b virus
- cardiac resynchronization therapy
- left atrial
- acute respiratory distress syndrome