A broken lead to an open heart: implantable cardioverter defibrillator vegetations with lead fracture.
Implantable cardioverter defibrillator
Lead fracture
Thrombus
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
22
07
2021
revised:
25
07
2021
accepted:
25
07
2021
entrez:
6
9
2021
pubmed:
7
9
2021
medline:
7
9
2021
Statut:
epublish
Résumé
Implantable cardiac devices are widely used devices that serve several purposes. Complications from devices are not uncommon and include localized or systemic infections, device-related endocarditis, and device malfunction leading to serious outcomes, including death. Another possible complication that has been reported in the literature is thrombus formation on the device leads. We present a rare case of large thrombi forming on the leads of an implantable cardioverter defibrillator leading to lead fracture and device malfunction. After the device alerted for malfunction, the patient underwent a transesophageal echocardiogram which demonstrated masses on the right atrium and ventricle. He subsequently had a right atrial exploration and lead extraction which revealed large thrombi on the leads which histologically were identified as sterile vegetations.
Identifiants
pubmed: 34484509
doi: 10.1016/j.radcr.2021.07.059
pii: S1930-0433(21)00530-6
pmc: PMC8403715
doi:
Types de publication
Case Reports
Langues
eng
Pagination
3152-3156Informations de copyright
© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
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