Nicolosi G L, Charmet P A, Zanuttini D
Br Heart J. 1980 Feb;43(2):199-201. doi: 10.1136/hrt.43.2.199.
Right atrial thrombosis is a rare complication of permanent endocardial pacing. We report two cases with large right atrial thrombi which occurred during permanent endocardial electrical stimulation. Both patients were women, aged 83 and 89 years, who died suddenly, respectively, one month and 24 days after pacemaker implantation. At the time of death the two patients were in severe persistent refractory congestive heart failure despite appropriate medical treatment. At necropsy large mobile right atrial thrombi were found in both cases.
右心房血栓形成是永久性心内膜起搏罕见的并发症。我们报告两例在永久性心内膜电刺激过程中发生的巨大右心房血栓病例。两名患者均为女性，年龄分别为83岁和89岁，分别在起搏器植入后1个月和24天突然死亡。死亡时，尽管接受了适当的药物治疗，但两名患者均处于严重的持续性难治性充血性心力衰竭状态。尸检时发现两例均有巨大的可移动右心房血栓。
