Successful Thrombolysis of Right Atrial and Ventricle Thrombi Encircling a Temporary Pacemaker Lead in a Patient with Heparin‐Induced Thrombocytopenia Type II

1 67-year-old patient who required a temporary transfemoral pacemaker due to AV block grade III and developed extensive right atrial and ventricle thrombus formation attached to the pacing wire, as well as venous thrombosis at the insertion site due to heparin-induced thrombocytopenia type II (HIT type II).

Short-term thrombolysis with 1 mg rt-PA/kg body weight

Resolution of clots assessed by B-mode sonography and transthoracic, as well as transesophageal echocardiographysurrogate