Incidental Detection of a Right atrial wire Attached Mobile Thrombus of an Implantable Cardioverter Defibrillator (ICD) in a Case of MALT Lymphoma
Norah F. Aleid
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia and King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia.
Afnan M. Alsaad
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia and King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia.
Abdullah A. Alkhateeb
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia and King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia.
Mohamed A. Soliman
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia and King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia.
Yazan H. Mustafa
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia and King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia.
Ayman F. Soliman *
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia and King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia and King Saud bin Abdulaziz University for Health Sciences, COAMS-A, Al Ahsa, Saudi Arabia.
Muneera Altaweel
King Abdulaziz Hospital, MNGHA, Al Ahsa, Saudi Arabia and King Abdullah International Medical Research Center (KAIMRC), Al Ahsa, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Implantable cardioverter defibrillators (ICD) are widely used in primary prevention for cardiomyopathy patients.
A 57-year-old male with dilated cardiomyopathy post ICD implantation was found to have an incidental asymptomatic echocardiogram finding of a mobile thrombus attached to the tip of the ICD wire in the right atrium. The thrombosis is probably due to a hypercoagulability state in patient with Cardiomyopathy and MALT lymphoma. The purpose of this case report is to highlight accidental discoveries of ICD wire thrombi and the appropriate therapeutic strategy.
Keywords: Thrombus, echocardiography, Implantable Cardioverter Defibrillator (ICD)