title: Direct right atrial catheterization for total parenteral nutrition.
abstract: A case report of a patient with severe nutritional deficiency and no adequate access to the central venous system for total parenteral nutrition is presented. Operative placement of a catheter directly into the right atrium allowed adequate nutritional support and led to a marked improvement in the clinical status of the patient and a gain of weight from 67 to 98 pounds. The technique of the procedure and its limited indications are discussed.
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization; D003125:Colostomy; D003424:Crohn Disease / Q000150:complications / Q000601:surgery / Q000628:therapy; D006325:Heart Atria; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology; D008297:Male; D009748:Nutrition Disorders / Q000209:etiology / Q000628:therapy*; D010288:Parenteral Nutrition / Q000379:methods*; D012871:Skin Diseases / Q000209:etiology