A Serendipitous Identification of a Lead Extraction Complication. Issue 8 (11th June 2014)

• Record Type: Journal Article
• Authors: Madden, George; Farrukh, Omar; Stavrakis, Stavros; Sivaram, C. A.
• Is Part Of: Echocardiography. Volume 31:Issue 8(2014)
• Page Start: E247
• Page End: E249
• Publication Date: 2014-06-11
• Subjects: Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.12651
• Languages: English
• ISSNs: 0742-2822

Abstract

<abstract abstract-type="short" xml:lang="en" id="echo12651-abs-0002"> <title>Mini‐Abstract</title> <p>A 57‐year‐old male with a dual chamber pacemaker and atrial fibrillation (AF) presented for transesophageal echocardiography (TEE)‐guided cardioversion. TEE revealed a large 2.5 cm × 2.3 cm, mobile mass on the right atrial lead. Following device and lead extraction, he developed progressive shortness of breath. Serial TEE revealed a 1.8 cm × 1.6 cm mass in the distal left pulmonary artery, which was corroborated by a 1.4 cm × 2.5 cm filling defect in the descending left pulmonary artery on magnetic resonance angiography (MRA). This case illustrates the risk of pulmonary embolism (PE) in patients with large endocardial lead vegetations undergoing transvenous lead extraction.</p> </abstract>