Recurrent Pulmonary Emboli Secondary to Right Atrial Thrombus Around a Permanent Pacing Catheter

A Case Report and Review of the Literature

EVLIN L. KINNEY, ROBERT P. ALLEN, WILLIAM A. WEIDNER, WILLIAM S. PIERCE, DAVID M. LEAMAN, Robert Zelis

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

A case report and review of the literature. This report describes the management of a woman with multiple pulmonary emboli secondary to a large right atrial clot which had formed around her permanent trans‐venous pacemaker. She continued to have pulmonary emboli despite adequate anti‐coagulation. Removal of the catheter and pacing required right atriotomy under cover of cardiopulmonary bypass, Additionally, eight English language case reports of symptomatic pericatheter thromboses are reviewed. In these cases, pericatheter clot resulted either in right‐sided inlet obstruction or pulmonary emboJi. The mortality rate was 75%. Although the cause for our patient's thromboembolic events is uncertain, congestive heart failure was a predisposing factor in 75% of the other reported cases. We suggest that pacemaker patients in congestive heart failure might benefit greatly from chronic anticoagulation.

Original languageEnglish (US)
Pages (from-to)196-202
Number of pages7
JournalPacing and Clinical Electrophysiology
Volume2
Issue number2
DOIs
StatePublished - Jan 1 1979

Fingerprint

Embolism
Thrombosis
Catheters
Lung
Heart Failure
Cardiopulmonary Bypass
Causality
Language
Mortality

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

KINNEY, EVLIN L. ; ALLEN, ROBERT P. ; WEIDNER, WILLIAM A. ; PIERCE, WILLIAM S. ; LEAMAN, DAVID M. ; Zelis, Robert. / Recurrent Pulmonary Emboli Secondary to Right Atrial Thrombus Around a Permanent Pacing Catheter : A Case Report and Review of the Literature. In: Pacing and Clinical Electrophysiology. 1979 ; Vol. 2, No. 2. pp. 196-202.
@article{ad5f44d6b52b4c439bf4697b70a416fb,
title = "Recurrent Pulmonary Emboli Secondary to Right Atrial Thrombus Around a Permanent Pacing Catheter: A Case Report and Review of the Literature",
abstract = "A case report and review of the literature. This report describes the management of a woman with multiple pulmonary emboli secondary to a large right atrial clot which had formed around her permanent trans‐venous pacemaker. She continued to have pulmonary emboli despite adequate anti‐coagulation. Removal of the catheter and pacing required right atriotomy under cover of cardiopulmonary bypass, Additionally, eight English language case reports of symptomatic pericatheter thromboses are reviewed. In these cases, pericatheter clot resulted either in right‐sided inlet obstruction or pulmonary emboJi. The mortality rate was 75{\%}. Although the cause for our patient's thromboembolic events is uncertain, congestive heart failure was a predisposing factor in 75{\%} of the other reported cases. We suggest that pacemaker patients in congestive heart failure might benefit greatly from chronic anticoagulation.",
author = "KINNEY, {EVLIN L.} and ALLEN, {ROBERT P.} and WEIDNER, {WILLIAM A.} and PIERCE, {WILLIAM S.} and LEAMAN, {DAVID M.} and Robert Zelis",
year = "1979",
month = "1",
day = "1",
doi = "10.1111/j.1540-8159.1979.tb05201.x",
language = "English (US)",
volume = "2",
pages = "196--202",
journal = "PACE - Pacing and Clinical Electrophysiology",
issn = "0147-8389",
publisher = "Wiley-Blackwell",
number = "2",

}

Recurrent Pulmonary Emboli Secondary to Right Atrial Thrombus Around a Permanent Pacing Catheter : A Case Report and Review of the Literature. / KINNEY, EVLIN L.; ALLEN, ROBERT P.; WEIDNER, WILLIAM A.; PIERCE, WILLIAM S.; LEAMAN, DAVID M.; Zelis, Robert.

In: Pacing and Clinical Electrophysiology, Vol. 2, No. 2, 01.01.1979, p. 196-202.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Recurrent Pulmonary Emboli Secondary to Right Atrial Thrombus Around a Permanent Pacing Catheter

T2 - A Case Report and Review of the Literature

AU - KINNEY, EVLIN L.

AU - ALLEN, ROBERT P.

AU - WEIDNER, WILLIAM A.

AU - PIERCE, WILLIAM S.

AU - LEAMAN, DAVID M.

AU - Zelis, Robert

PY - 1979/1/1

Y1 - 1979/1/1

N2 - A case report and review of the literature. This report describes the management of a woman with multiple pulmonary emboli secondary to a large right atrial clot which had formed around her permanent trans‐venous pacemaker. She continued to have pulmonary emboli despite adequate anti‐coagulation. Removal of the catheter and pacing required right atriotomy under cover of cardiopulmonary bypass, Additionally, eight English language case reports of symptomatic pericatheter thromboses are reviewed. In these cases, pericatheter clot resulted either in right‐sided inlet obstruction or pulmonary emboJi. The mortality rate was 75%. Although the cause for our patient's thromboembolic events is uncertain, congestive heart failure was a predisposing factor in 75% of the other reported cases. We suggest that pacemaker patients in congestive heart failure might benefit greatly from chronic anticoagulation.

AB - A case report and review of the literature. This report describes the management of a woman with multiple pulmonary emboli secondary to a large right atrial clot which had formed around her permanent trans‐venous pacemaker. She continued to have pulmonary emboli despite adequate anti‐coagulation. Removal of the catheter and pacing required right atriotomy under cover of cardiopulmonary bypass, Additionally, eight English language case reports of symptomatic pericatheter thromboses are reviewed. In these cases, pericatheter clot resulted either in right‐sided inlet obstruction or pulmonary emboJi. The mortality rate was 75%. Although the cause for our patient's thromboembolic events is uncertain, congestive heart failure was a predisposing factor in 75% of the other reported cases. We suggest that pacemaker patients in congestive heart failure might benefit greatly from chronic anticoagulation.

UR - http://www.scopus.com/inward/record.url?scp=0018741288&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0018741288&partnerID=8YFLogxK

U2 - 10.1111/j.1540-8159.1979.tb05201.x

DO - 10.1111/j.1540-8159.1979.tb05201.x

M3 - Article

VL - 2

SP - 196

EP - 202

JO - PACE - Pacing and Clinical Electrophysiology

JF - PACE - Pacing and Clinical Electrophysiology

SN - 0147-8389

IS - 2

ER -