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 F. ZELIS

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

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 - Mar 1979

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Recurrent Pulmonary Emboli Secondary to Right Atrial Thrombus Around a Permanent Pacing Catheter: A Case Report and Review of the Literature'. Together they form a unique fingerprint.

Cite this