Simultaneous large bi-atrial device-related thrombi

Area of Science:

• Cardiology
• Oncology
• Medical Imaging

Background:

• Pacemaker leads and left atrial appendage closure devices are common in cardiovascular care.
• Thrombus formation is a known complication associated with these devices.
• Urothelial carcinoma is a type of cancer affecting the urinary tract.

Observation:

• A patient diagnosed with urothelial carcinoma presented with concurrent thrombus formation.
• The thrombus was associated with the pacemaker lead.
• Another thrombus was identified related to the left atrial appendage closure device.

Findings:

• Transesophageal echocardiography revealed simultaneous thrombus formation.
• The findings highlight a potential association between urothelial carcinoma and device-related thrombosis.
• This case underscores the importance of vigilant monitoring in patients with both cardiac devices and malignancy.

Implications:

• Further research is warranted to explore the potential link between urothelial carcinoma and increased thrombotic risk in patients with cardiac devices.
• This case may inform clinical practice regarding anticoagulation strategies and surveillance protocols.
• Understanding such rare complications is crucial for improving patient outcomes in complex medical scenarios.