Internal jugular vein thrombosis secondary to a permanent cardiac pacemaker: an unusual case of lateral neck swelling

• Published in: Journal of laryngology and otology Vol. 124; no. 8; pp. 916 - 918
• Main Authors: Arhi, C S, Buchanan, M A, Allen, S A, Pickles, J
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.08.2010
• Subjects: Aged; Antibiotics; Anticoagulants; Biological and medical sciences; Blood clots; Cardiac Pacemaker; Catheters; Consciousness; Cysts; Deglutition Disorders - etiology; Drug abuse; Edema; Female; Humans; Infections; Internal Jugular Vein; Jugular Veins; Medical imaging; Medical sciences; Neck; Neck Pain - etiology; Otorhinolaryngology. Stomatology; Pacemaker, Artificial - adverse effects; Pacemakers; Proteins; Subclavian Vein; Substance abuse treatment; Thrombosis; Tomography; Tomography, X-Ray Computed; Tumors; Ultrasonic imaging; Veins & arteries; Venous Thrombosis - drug therapy; Venous Thrombosis - etiology; Neck; Thrombosis; Internal Jugular Vein; Cardiac Pacemaker; Heart; Swelling; Internal jugular vein; Lateral; Instrumentation therapy; Cardiovascular disease; ENT; Vascular disease; Instrumental stimulation; Pacemaker
• ISSN: 0022-2151; 1748-5460
• DOI: 10.1017/S0022215110000046

To describe an unusual case of lateral neck swelling in a patient with a permanent cardiac pacemaker. We describe a patient who presented with a painful, lateral neck swelling due to an internal jugular vein thrombus. This thrombus originated from around pacemaker wires in the subclavian vein. This case is unusual, as the vast majority of thromboses in patients with cardiac pacemakers are found in the subclavian vein alone. We also review the literature on the relationship between cardiac pacemakers and internal jugular vein thrombosis, and on the management of the latter. Our patient illustrates a rare cause of a painful, lateral neck swelling: an internal jugular vein thrombus secondary to a cardiac pacemaker. Clinicians should be wary of such pathology in similar patients, in order to ensure early treatment and avoidance of complications.