Unusual superior vena cava thrombus (partly obstructive) extending through right atrium to eustachian valve.
A 50-year-old patient with end-stage renal disease who was being dialyzed with an internal jugular catheter presented with fever. Transthoracic and transesophageal echo demonstrated a thrombus in the inferior vena cava, protruding into the right atrium and extending to the eustachian valve to which it was adherent. Multiple organisms grew from the blood as well as the catheter tip. Antibiotic therapy was started with Vancomycin and Gentamicin but later changed to other combinations according to sensitivity studies. Coumadin was also given.
Munir
Ahmad
A
Memphis VA Medical Center and University of Tennessee Health Science Center, Memphis Tennessee, USA.
Minderman
Daniel
D
D'Cruz
Ivan
I
D002404:Catheterization / Q000009:adverse effects; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006801:Humans; D007601:Jugular Veins; D008297:Male; D008875:Middle Aged; D013479:Superior Vena Cava Syndrome / Q000000981:diagnostic imaging* / Q000209:etiology; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging*