"We have a tenant" a right atrial thrombus related to a central catheter.
Hemodialysis tunneled catheter are in constant motion due to the movement of the heart. For that reason catheter tip may cause damage to the wall of the vessel or the atrium, resulting in mural thrombus formation at the point of contact. We report the case of a 36 year old asymptomatic woman with a previous chronic vascular hemodialysis catheter who was referred for routine echocardiogram before kidney transplantation. An ovoid mass compatible with thrombus was present in the right atrium. We review literature about catheter-related thrombus.
Bayón
Jeremías
J
Cardiology Department, Hospital Universitario Central de Asturias, Calle Julián Clavería, Oviedo, Asturias, Spain. mmartinf7@hotmail.com
Martín
María
M
García-Ruíz
José Manuel
JM
Rodríguez
Carmen
C
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D006435:Renal Dialysis; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*
D000925:Anticoagulants