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Thrombus on pacemaker lead
Monish S Raut1, Arun Maheshwari1, Sumir Dubey2
1Consultant, Department of Cardiac Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India.
Abstract:
A 58-year-old male was admitted with history of shortness of breath and recurrent fever since two months. He had undergone permanent pacemaker implantation six years back for complete heart block. The patient was persistently having thrombocytopenia. Echocardiographic examination revealed mass (size 4.28 cm(2)) attached to pacemaker lead in right atrium. The patient was scheduled for open-heart surgery for removal of right atrial mass. During surgery, pacemaker leads and pulse generator were also removed along with mass considering the possible source of infection.
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