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Complete nasal obstruction secondary to pacemaker insertion.

T Lloyd Jones1, V B Wreesmann1, E Nilssen1

  • 1Portsmouth Hospitals NHS Trust , UK.

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|April 3, 2018
PubMed
Summary
This summary is machine-generated.

A pacemaker insertion led to a rare complication: bilateral brachiocephalic vein thrombosis. This caused nasal obstruction and facial swelling in a 71-year-old man.

Keywords:
Brachiocephalic vein thrombosisNasal obstructionPacemaker

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Area of Science:

  • Cardiology
  • Vascular Surgery
  • Otolaryngology

Background:

  • Pacemaker insertion is a common procedure for managing cardiac arrhythmias.
  • Complications, though infrequent, can arise from implanted cardiac devices.
  • Vascular complications, such as thrombosis, are a known risk.

Observation:

  • A 71-year-old male presented with complete nasal obstruction and facial plethora, exacerbated by bending forward.
  • Physical examination revealed a positive Pemberton's sign, indicative of superior vena cava syndrome.
  • Imaging studies were crucial for diagnosis.

Findings:

  • Computed tomography (CT) and ultrasonography confirmed bilateral brachiocephalic vein thrombosis.
  • The thrombosis was identified as a consequence of recent pacemaker insertion.
  • This represents a novel presentation of pacemaker-associated venous complication.

Implications:

  • This case underscores the importance of considering device-related complications in patients with unexplained venous obstruction.
  • Awareness of this rare complication is vital for clinicians managing pacemaker patients.
  • Further investigation into the mechanisms and prevention of pacemaker-induced venous thrombosis may be warranted.