{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T04:54:08Z","timestamp":1695531248559},"reference-count":7,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,6,11]],"date-time":"2014-06-11T00:00:00Z","timestamp":1402444800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:p>A 57\u2010year\u2010old male with a dual chamber pacemaker and symptomatic, persistent atrial fibrillation (<jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>) accompanying a febrile illness presented for elective transesophageal echocardiography (<jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content>)\u2010guided cardioversion. The patient was found to have a large 2.5\u00a0cm\u00a0\u00d7\u00a02.3\u00a0cm, mobile mass attached to the right atrial lead. Following device and lead extraction, he developed progressive shortness of breath which was attributed to his underlying arrhythmia. One month later, <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> ablation was pursued and preablation <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content> revealed a dilated main pulmonary artery with a 1.8\u00a0cm\u00a0\u00d7\u00a01.6\u00a0cm mass in the distal left pulmonary artery, which was corroborated by a 1.4\u00a0cm\u00a0\u00d7\u00a02.5\u00a0cm filling defect in the descending left pulmonary artery on magnetic resonance angiography (<jats:styled-content style=\"fixed-case\">MRA<\/jats:styled-content>). To our knowledge, this is the first case report to document the distal migration of vegetation material into the pulmonary artery with serial <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content> and highlights the risk of pulmonary embolism (<jats:styled-content style=\"fixed-case\">PE<\/jats:styled-content>) in patients with large endocardial lead vegetations undergoing transvenous lead extraction.<\/jats:p>","DOI":"10.1111\/echo.12651","type":"journal-article","created":{"date-parts":[[2014,9,11]],"date-time":"2014-09-11T11:56:37Z","timestamp":1410436597000},"source":"Crossref","is-referenced-by-count":1,"title":["A Serendipitous Identification of a Lead Extraction Complication"],"prefix":"10.1111","volume":"31","author":[{"given":"George","family":"Madden","sequence":"first","affiliation":[{"name":"Department of Medicine\/Cardiology University of Oklahoma Health Science Center Oklahoma City Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Farrukh","sequence":"additional","affiliation":[{"name":"Internal Medicine Resident University of Oklahoma Health Science Center Oklahoma City Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stavros","family":"Stavrakis","sequence":"additional","affiliation":[{"name":"Department of Medicine Cardiovascular Section University of Oklahoma Health Science Center Oklahoma City Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. A.","family":"Sivaram","sequence":"additional","affiliation":[{"name":"Department of Medicine Cardiovascular Section University of Oklahoma Health Science Center Oklahoma City Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,6,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2009.05.020"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(86)90004-5"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(03)00188-1"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.95.8.2098"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.11.034"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2006.00328.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.21018"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.12651","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.12651","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T14:30:11Z","timestamp":1695479411000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.12651"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,11]]},"references-count":7,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2014,9]]}},"alternative-id":["10.1111\/echo.12651"],"URL":"https:\/\/doi.org\/10.1111\/echo.12651","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,6,11]]}}}