A broken lead to an open heart: implantable cardioverter defibrillator vegetations with lead fracture.
| Autor: | Horani G; Department of Internal Medicine, St. Joseph's University Medical Center, 703 Main St., Paterson, NJ 07503., Hosein K; Department of Cardiology, St. Joseph's University Medical Center, 703 Main St., Paterson, NJ 07503., Kumar R; Department of Cardiology, St. Joseph's University Medical Center, 703 Main St., Paterson, NJ 07503., Shamoon F; Department of Cardiology, St. Joseph's University Medical Center, 703 Main St., Paterson, NJ 07503. |
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| Jazyk: | angličtina |
| Zdroj: | Radiology case reports [Radiol Case Rep] 2021 Aug 26; Vol. 16 (11), pp. 3152-3156. Date of Electronic Publication: 2021 Aug 26 (Print Publication: 2021). |
| DOI: | 10.1016/j.radcr.2021.07.059 |
| Abstrakt: | 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. (© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.) |
| Databáze: | MEDLINE |
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