Massive thrombi on an implantable cardioverter-defibrillator lead in a patient with the antiphospholipid syndrome

Abstract

A patient with the antiphospholipid syndrome, who was suboptimally anticoagulated, presented with two large thrombi attached to her implantable cardioverter-defibrillator lead. Anticoagulation was unsuccessful so, in view of the risk from embolization, the system was removed surgically and an epicardial system implanted to reduce the risk of future device-related thrombosis. © 2011 The Author.