Central venous septic thrombosis managed by superior vena cava Greenfield filter and venous thrombectomy: a case report.
Operative management of a patient with septic thrombosis from Candida organisms of the subclavian and central veins is described. Diagnosis was suspected on the basis of positive blood and catheter tip cultures, indium-labeled leukocyte scan, and bilateral upper extremity phlebograms. Venous thrombectomy with a Fogarty catheter of the upper extremity central veins was performed after a superior vena cava Greenfield filter had been placed to prevent pulmonary embolism. The thrombus culture was positive for Candida albicans, and the reestablishment of vein patency in conjunction with amphotericin B therapy resulted in cure. This technique allows a definitive diagnosis of septic central thrombosis to be made and reestablishment of vein patency may also enhance antibiotic therapy.
D000666:Amphotericin B / Q000627:therapeutic use; D002177:Candidiasis / Q000209:etiology / Q000601:surgery*; D002404:Catheterization / Q000009:adverse effects; D003131:Combined Modality Therapy; D005260:Female; D005374:Filtration; D006801:Humans; D007601:Jugular Veins; D008875:Middle Aged; D013350:Subclavian Vein; D013927:Thrombosis / Q000209:etiology / Q000601:surgery*; D014683:Vena Cava, Superior
D000666:Amphotericin B