Case Report : Fatal cardiac thromboembolism in a patient with a pacemaker during ureteroscopic lithotripsy for ureter stone -a case report

Intracardiac thrombosis is an infrequent and fatal complication in patients with an inserted pacemaker. A patient with an inserted pacemaker scheduled for ureter stone removal experienced cardiac arrest and cardiopulmonary resuscitation under general anesthesia. Echocardiography showed multiple intr...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2015-02, Vol.68 (1), p.74
Main Authors: Mee Young Chung, Su Min Chae, Chang Jae Kim
Format: Article
Language:Korean
Subjects:
Echocardiography
Pacemaker
Thrombosis
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Description
Summary:Intracardiac thrombosis is an infrequent and fatal complication in patients with an inserted pacemaker. A patient with an inserted pacemaker scheduled for ureter stone removal experienced cardiac arrest and cardiopulmonary resuscitation under general anesthesia. Echocardiography showed multiple intracardiac thrombi. Preoperative diagnostic workup including echocardiography for the detection of pacemaker lead thrombus, and the need for anticoagulation should be considered in patients with an inserted pacemaker and high-risk factors for thrombosis. (Korean J Anesthesiol 2015; 68: 74-77)
ISSN:2005-6419
2005-7563