title: Right atrial thrombus due to internal jugular vein catheter.
abstract: Right atrial thrombus is rare complication of hemodialysis central venous catheter. Literature survey revealed 49 documentations of right atrial thrombus due to a central venous catheter. We report a 58-year-old type 2 diabetic, hypertensive, end-stage renal disease patient, who 2 months after initiation of hemodialysis through a right internal jugular vein catheter, developed clinical features suggestive of pulmonary thromboembolism. An echocardiography revealed presence of a serpentine thrombus in right atrium. The internal jugular vein catheter was removed and unfractionated heparin was initiated. At the end of 6 weeks he was symptom free. We compared conservative treatment with surgery for RAT. Conservative management with central venous catheter removal and anticoagulation therapy is not inferior to the surgery.
authors.affiliation: Nephrology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderbad, India. ram_5_1999@yahoo.com
authors.forename: Rapur
authors.initials: R
authors.lastname: Ram
authors.forename: Gudithi
authors.initials: G
authors.lastname: Swarnalatha
authors.forename: Yarlagadda
authors.initials: Y
authors.lastname: Rakesh
authors.forename: Maddury
authors.initials: M
authors.lastname: Jyostna
authors.forename: Neela
authors.initials: N
authors.lastname: Prasad
authors.forename: Kaligotla Venkata
authors.initials: KV
authors.lastname: Dakshinamurty
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D003328:Coronary Thrombosis / Q000209:etiology*; D006325:Heart Atria / Q000473:pathology; D006801:Humans; D007601:Jugular Veins / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology