A 'Worm-like' mass in the heart & 3D visualization of a thro
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Researchers report the case of a 76-year-old Caucasian man with a permanent dual-chamber pacemaker and a worm-like right-heart thrombus in transit (Video 1). Two-dimensional transthoracic echocardiography and two-dimensional transesophageal echocardiography showed that it was debatable as to whether "the worm" was originating from the leads. For the preparation of an external cardioversion, another 2D TTE was performed, demonstrating an echogenic worm-like mass with a length of 10 cm in the right atrium (RA). Offline three-dimensional transesophageal echocardiography reconstruction technique proved superior in identifying the cardiac mass as a thrombus trapped between the leads of the pacemaker. The thrombus was successfully dissolved by systemic heparin therapy.

The three-dimensional transesophageal echocardiography is useful and effective in patients with implanted pacemakers or defibrillators when other closely competing imaging modalities are contraindicated, such as magnetic resonance imaging. In patients with pacemakers and trapped thrombus in transit for whom surgical therapy might be a high risk, medical therapy seems to offer a safer and convincing alternative. Whether the management of right-heart thrombi has to be modified due to the presence of pacemaker leads is controversial.

Watch the video here: https://pxmd.co/K2Hws

Source: https://jmedicalcasereports.biomedcentral.com/articles/10.1186/1752-1947-4-359
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P●●●h M●●●●a General Medicine
I did not get that plz help
Jan 7, 2020Like