Key result
Unfractionated heparin completely resolves giant RA pacemaker lead thrombus with bilateral PE in ~6 days.
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Unfractionated heparin can successfully resolve a giant intracardiac thrombus anchored on a pacemaker lead causing pulmonary embolism.
We describe a case of a patient with bilateral pulmonary embolism because of a giant intracardiac thrombus anchored on a right atrial pacemaker lead treated with unfractionated heparin and the consecutively complete thrombus resolution after 5-6 days.
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D'Aloia et al. (2013) studied this question. Unfractionated heparin treatment resulted in complete resolution of a giant right atrial pacemaker lead thrombus complicated by bilateral pulmonary embolism within 5 to 6 days.
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