Pulmonary Embolism after Pacemaker Implantation
AUTOR(ES)
Martínez-Sellés, Manuel
RESUMO
One day after implantation of a permanent pacemaker in an 82-year-old man, transthoracic echocardiography showed a mass in the right ventricle and a small pericardial effusion. Transesophageal echocardiography revealed a mass attached to the pacemaker lead. Subcutaneous administration of enoxaparin was begun, and the patient remained free of symptoms for the duration of his hospital stay. Follow-up echocardiography performed before discharge failed to show the right ventricular mass, but a lung perfusion scan revealed multiple bilateral perfusion defects consistent with pulmonary emboli. The patient was discharged on a regimen of enoxaparin for another 30 days. Two years later, he remained asymptomatic. (Tex Heart Inst J 2001;28:318–9)
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=101212Documentos Relacionados
- Chest Pain and Diaphragmatic Pacing after Pacemaker Implantation
- Permanent and temporary pacemaker implantation after orthotopic heart transplantation
- Permanent pacemaker implantation after cardiac transplantation: extra cost of a conservative policy.
- Entanglement of embolised thrombus with an endocardial lead causing pacemaker malfunction and subsequent pulmonary embolism.
- Fatal massive haemoptysis after embolectomy for chronic pulmonary embolism.