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Titolo:
BUDD-CHIARI SYNDROME DUE TO PACEMAKER-INDUCED THROMBOSIS
Autore:
LU CL; HWANG SJ; CHEN SA; YU TJ; CHOU YH; LEE SD;
Indirizzi:
VET GEN HOSP,DEPT MED,DIV GASTROENTEROL,SEC 2,201 SHIH PAI RD TAIPEI 11217 TAIWAN VET GEN HOSP,DEPT MED,DIV GASTROENTEROL TAIPEI 11217 TAIWAN VET GEN HOSP,DEPT MED,DIV CARDIOL TAIPEI 11217 TAIWAN VET GEN HOSP,DEPT SURG,DIV CARDIOVASC SURG TAIPEI 11217 TAIWAN VET GEN HOSP,DEPT RADIOL TAIPEI 11217 TAIWAN NATL YANG MING UNIV TAIPEI TAIWAN
Titolo Testata:
Journal of gastroenterology and hepatology
fascicolo: 3, volume: 10, anno: 1995,
pagine: 355 - 358
SICI:
0815-9319(1995)10:3<355:BSDTPT>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
RIGHT ATRIAL THROMBUS; VENA-CAVA; MEMBRANOUS OBSTRUCTION; DISSOLUTION; ELECTRODES; ETIOLOGY;
Keywords:
BUDD-CHIARI SYNDROME; PACEMAKER; VENOUS THROMBOSIS;
Tipo documento:
Note
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
24
Recensione:
Indirizzi per estratti:
Citazione:
C.L. Lu et al., "BUDD-CHIARI SYNDROME DUE TO PACEMAKER-INDUCED THROMBOSIS", Journal of gastroenterology and hepatology, 10(3), 1995, pp. 355-358

Abstract

We report a unique case of Budd-Chiari syndrome caused by pacemaker leads-induced thrombosis. A 34 year old female patient was subjected toa permanent pacemaker insertion because of refractory paroxysmal supraventricular tachycardia attacks related to Wolff-Parkinson-White syndrome. Three years later, another pacemaker was re-implanted because ofits dislodgement. Four episodes of skin infections at the implantation site were noted thereafter. The patient developed symptoms of abdominal pain and ascites 5 years after the second pacemaker implantation. Ultrasonography and computerized tomography of the abdomen revealed hepatomegaly with ascites and dilated inferior vena cava. An echocardiogram displayed thrombus formation in the superior vena cava, the right atrium and the inlet of the inferior vena cava into the right atrium. Inferior and superior venacavogram confirmed the above findings. With the impression that Budd-Chiari syndrome was caused by pacemaker-induced thrombus, we removed the pacemaker first and thoracotomy with thrombectomy was then performed. The clinical symptoms resolved after the operation. To our knowledge, this is the first case reported in the literature and this observation supported the thrombosis theory for membranous obstruction of inferior vena cava.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 09:49:12