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Related Concept Videos

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Simultaneous large bi-atrial device-related thrombi.

Jonas Dominik Häner1, Christian Seiler2

  • 1Department of Cardiology, Inselspital, University of Bern Hospital, 3010, Bern, Switzerland. jonas.haener@insel.ch.

Journal of Thrombosis and Thrombolysis
|November 9, 2016
PubMed
Summary

This study reports a rare case of simultaneous thrombus formation. Both a pacemaker lead and a left atrial appendage closure device were affected in a patient with urothelial carcinoma.

Keywords:
Device-associated thrombusIntra-cardiac thrombusLeft atrial appendage closureParaneoplastic hypercoagulabilityTransesophageal echocardiography

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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.