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2. Pacemaker-associated cyanosis in an adolescent: The answer hiding behind shadows

Author

Wittekind, S.G., Salerno, Jack Christian, and Rubio, Agustin E.

Subjects
Pacemaker, Artificial -- Case studies, transesophageal echocardiography, Thrombosis, Case Report, intracardiac thrombosis, Pediatrics, Pacemaker, paediatrics, transvenous pacemaker, cardiovascular system, cardiovascular diseases, Echocardiography, Transesophageal, thrombosis, circulatory and respiratory physiology
Abstract

Lead thrombosis is a recognized complication of permanent transvenous pacemaker (PM) implantation. We present the interesting case of an adolescent with a dual-chamber PM presenting with fatigue and hypoxemia. Due to limitations of various imaging modalities, the diagnosis was difficult. She was eventually diagnosed with intracardiac PM lead thrombi obstructing tricuspid valve inflow. The pediatric literature on PM lead thrombosis is also briefly reviewed., peer-reviewed

Published
2012

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