Right atrial thrombus secondary to pacemaker wires

The Journal of Emergency Medicine
Alexander C Feuchter, Kenneth D Katz

Abstract

Pacemaker-induced right atrial thrombus is a rare condition that has not been described in the Emergency Medicine literature. This is a potentially fatal condition that is diagnosed with an echocardiogram and treated with surgical removal, thrombolytics, or long-term anticoagulation. This case report is designed to increase awareness among emergency physicians of this potentially fatal condition. We describe the case of a patient with a massive right atrial thrombus secondary to pacemaker wire who presented to the Emergency Department with syncope, bradycardia, and rapid hemodynamic deterioration. Emergency physicians should be aware of this life-threatening entity. Emergency bedside cardiac ultrasound or echocardiogram may be of value in its early identification.

References

Oct 30, 2004·The Annals of Thoracic Surgery·David B ColemanHenry M Spotnitz
Jan 28, 2009·Pacing and Clinical Electrophysiology : PACE·Aylin TugcuSaide Aytekin

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Citations

Jan 27, 2016·The Journal of Emergency Medicine·Erin E FrazerSamuel H F Lam

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