[Catheter-related central venous thrombosis in the course of an uncomplicated acute myocardial infarction: diagnostic usefulness of echocardiography].
In certain cases such as cancer patients or patients with coagulopathies, the venous thrombosis is a frequent complication that is associated with the implantation of central venous catheters. However, it is uncommon in other contexts, such as acute myocardial infarction without complications in its fifth day of evolution, after being treated with platelet inhibitors in addition to the initial anticoagulant and fibrinolytic therapy. We present a case of thrombosis in the superior vena cava and in the right atrium related to a peripherally inserted central catheter in this clinical context. The utility of transesophageal and transthoracic echocardiography in the differential diagnosis with other cardiac structures and in the evolutionary control is commented. Likewise, potential complications and the treatment of
Ayuela Azcárate
José M
JM
Servicio de Medicina Intensiva y Sección de Cardiología. Hospital General Yagüe. Burgos. Spain.
Pérez Ojeda
Germán
G
Busto Sanz
Purificación
P
García González
Amparo
A
Fernández Ratero
José A
JA
Zabalegui Pérez
Arturo
A
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D014463:Ultrasonography; D014683:Vena Cava, Superior; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology*