Massive Pulmonary Embolism Secondary to Late Pacemaker Lead Thrombosis-Juniper Publishers

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction Pacemaker lead induced Venous thrombosis occurs in 30% to 50% of permanent trans-venous pacemaker implantation [ 1 ]. Out of these only 0.6-3.5% cases have serious thromboembolic complications [ 2 ]. In an autopsy series, almost half of the patients were found to have thrombi in pacemaker leads [ 3 ], however, intracardiac thrombosis due to pacemaker lead causing serious embolic complication is a rare entity. We report a case of a large pacemaker lead thrombus leads to massive pulmonary embolism after 10 years of implantation. Case Report A 77 year old man who had a dual chamber pacemaker implanted 10 years back for sick sinus syndrome. He had regular follow up visits including device check and all were found to be in order. He presented to our institution with 2 weeks history of shortness of breath and sudden onset of right sided pleuri...