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Europace Advance Access published online on August 1, 2007
Europace, doi:10.1093/europace/eum159
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

CASE REPORT

Deep vein thrombosis in a patient with congenital heart disease and permanent transfemoral pacing

Georgios Giannakoulas*, Konstantinos Dimopoulos and Michael A. Gatzoulis

Adult Congenital Heart Centre and Centre for Pulmonary Hypertension, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK

A 45-year-old woman with previous repair of coarctation of aorta, ventricular septal defect closure, and progressive decline in her exercise capacity was admitted for the treatment of left leg deep venous thrombosis (DVT). She had a history of complete heart block and insertion of a pectoral pacemaker. After numerous problems with pocket infections, multiple box changes and fracture of the atrial lead, the pectoral system was extracted, and a transfemoral permanent pacemaker was implanted. Even though transfemoral pacing is considered a safe alternative to epicardial lead placement, this may not be the case in functionally impaired patients with mobility problems. Physicians caring for such patients should be alert to symptoms of DVT and provide prompt treatment to avoid major complications.

Key Words: Deep vein thrombosis, Congenital heart disease, Transfemoral pacing

* Corresponding author. Tel: +44 7747632019; fax: +44 2073518629. E-mail address: giannak{at}med.auth.gr

Manuscript submitted 21 June 2007. Accepted after revision 8 July 2007.


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