Thrombosis in the Left Ventricle after Implantable Cardioverter?Defibrillator Implantation: A Rare Cause of Systemic Thromboembolism
대한중환자의학회지 2014년 29권 1호 p.27 ~ p.31
정희찬(Jung Hee-Chan) - Catholic University College of Medicine Department of Internal Medicine
정우백(Chung Woo-Baek) - Catholic University College of Medicine Department of Internal Medicine
이만영(Lee Man-Young) - Catholic University College of Medicine Department of Internal Medicine
Abstract
This report describes a case of systemic thromboembolism caused by left ventricular (LV) thrombosis that developed after placement of an implantable cardioverter-defibrillator (ICD). A 27-year-old male patient was diagnosed with idiopathic dilated cardiomyopathy and ventricular tachycardia, and underwent ICD implantation for the primary prevention of sudden cardiac death. Two weeks after ICD implantation, the patient experienced renal infarction. Transthoracic echocardiography revealed a mobile thrombus at the LV apex, and automated function imaging demonstrated deteriorated LV function after ICD implantation. The RV was not placed by ICD and the mechanical force which was occurred by ICD that led to induced dyssynchronous motion of the LV apex may have resulted in a systemic thromboembolism.
키워드
implantable cardioverter-defibrillators, left ventricular dysfunction, thromboembolism
KMID :
0604020140290010027
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유효성결과(Recomendation)
LV thrombosis and systemic embolization after implantation of ICD were occurred; Implantable cardioverter-defibrillator (ICD) causes of Systemic Thromboembolism as a side effect.