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Ann Thorac Surg 2004;78:e83-e84
© 2004 The Society of Thoracic Surgeons


Case report

Pacemaker Lead Thrombosis Treated With Atrial Thrombectomy and Biventricular Pacemaker and Defibrillator Insertion

David B. Coleman, MDa, Dana M. DeBarr, BSa, David L. Morales, MDa, Henry M. Spotnitz, MD*,a

a Department of Surgery, Columbia University College of Physicians and Surgeons, New York, New York, USA

Accepted for publication September 8, 2003.

* Address reprint requests to Dr Spotnitz, 622 W 168 St, PH 14-103, New York, NY 10032, USA
hms2{at}columbia.edu

Right atrial thrombosis and pulmonary embolism are infrequent complications of pacemaker insertion. We report a patient with a large mobile thrombus on an endocardial DDD pacing lead and probable pulmonary embolism. We believe that this is the first case of pacemaker lead thrombosis in which treatment included insertion of an epicardial biventricular pacemaker and an implantable cardioverter-defibrillator.




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