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, Afnan M. Alsaad, Abdullah N. A. Alkhateeb, M. A. Soliman, Yazan H. Mustafa, A. Soliman, M. AlTaweel
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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.
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MALT淋巴瘤1例植入式心律转复除颤器(ICD)右心房导线附着可移动血栓的偶然检测
植入式心律转复除颤器(ICD)广泛应用于心肌病患者的一级预防。一位57岁的男性,在ICD植入后患有扩张性心肌病,在超声心动图上发现了一个偶然的无症状的血栓附着在ICD导线的尖端的右心房。血栓形成可能是由于心肌病和MALT淋巴瘤患者的高凝状态。本病例报告的目的是强调意外发现的ICD线血栓和适当的治疗策略。
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