Key result
Treatment with heparin followed by warfarin and dipyridamole successfully managed a right atrial thrombus and recurrent pulmonary emboli secondary to permanent pacemaker insertion in a single patient.
Case Report (n=1)
Anticoagulation with heparin followed by warfarin and dipyridamole can successfully treat right atrial thrombus and recurrent pulmonary emboli complicating permanent pacemaker insertion.
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May support anticoagulation for pacemaker-related right atrial thrombus; hypothesis-generating and requires prospective validation before practice change.
A patient with a right atrial thrombus and recurrent pulmonary emboli secondary to permanent pacemaker insertion is described. Possible precipitating factors were damage to the subclavian vein, congestive heart failure, paroxysmal atrial fibrillation, and immobilization. Venography demonstrated a large atrial thrombus in the superior vena cava and right atrium. The patient was successfully treated with heparin and subsequently with warfarin and dipyridamole.
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Avnun et al. (1987) conducted a case report in Right atrial thrombus and recurrent pulmonary emboli secondary to permanent pacemaker insertion (n=1). Heparin, warfarin, and dipyridamole was evaluated on Treatment success. Treatment with heparin followed by warfarin and dipyridamole successfully managed a right atrial thrombus and recurrent pulmonary emboli secondary to permanent pacemaker insertion in a single patient.
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