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Luminal vena cava superior and right atrial obstruction associated with severe tricuspid valve stenosis due to endocardial pacemaker leads: an extremely rare complication of permanent pacemakers.

Abstract
In this report, we describe a case with severe tricuspid stenosis associated with partial luminal obstruction of the right atrium and vena cava superior secondary to transvenous pacemaker leads in a 49-year-old patient who had a permanent pacemaker implanted 17 years ago. The patient had no specific symptoms related to above findings; however, after clinical suspicion, transthoracic and transoesophageal echocardiographic examination showed large mobile masses attached to the thickened transvenous pacemaker leads. Leads and generator were removed surgically, but some parts of transvenous leads could not be extracted due to massive fibrotic adhesions. It is possible that such cases will be more common due to increasing number of cardiac rhythm device implantations.
AuthorsUmit Güray, Yesim Güray, Ayça Boyaci, Burcu Demirkan, Fehmi Katircioglu, Sule Korkmaz
JournalEuropean journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology (Eur J Echocardiogr) Vol. 11 Issue 5 Pg. E22 (Jun 2010) ISSN: 1532-2114 [Electronic] England
PMID20080868 (Publication Type: Case Reports, Journal Article)
Topics
  • Cardiac Pacing, Artificial (adverse effects)
  • Endocardium
  • Foreign Bodies (complications, surgery)
  • Heart Atria (pathology, surgery, ultrasonography)
  • Humans
  • Male
  • Middle Aged
  • Tricuspid Valve (pathology, surgery, ultrasonography)
  • Tricuspid Valve Stenosis (etiology, surgery, ultrasonography)
  • Vena Cava, Superior (pathology, surgery, ultrasonography)

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