Right atrial thrombus secondary to pacemaker wires.
BACKGROUND: Pacemaker-induced right atrial thrombus is a rare condition that has not been described in the Emergency Medicine literature. This is a potentially fatal condition that is diagnosed with an echocardiogram and treated with surgical removal, thrombolytics, or long-term anticoagulation.
OBJECTIVES: This case report is designed to increase awareness among emergency physicians of this potentially fatal condition.
CASE REPORT: We describe the case of a patient with a massive right atrial thrombus secondary to pacemaker wire who presented to the Emergency Department with syncope, bradycardia, and rapid hemodynamic deterioration.
CONCLUSION: Emergency physicians should be aware of this life-threatening entity. Emergency bedside cardiac ultrasound or echocardiogram may be of value in its early identification.
Published In/Presented At
Feuchter AC, Katz KD. Right atrial thrombus secondary to pacemaker wires. J Emerg Med. 2012 Sep;43(3):e185-7. doi: 10.1016/j.jemermed.2010.04.047. Epub 2010 Jul 24.
Medicine and Health Sciences
Department of Emergency Medicine, Department of Emergency Medicine Faculty, Toxicology Division