title: [Inferior vena cava thrombosis reaching the right atrium after removal of the central venous catheter at femoral vein in a patient with diabetic ketoacidosis].
abstract: A 19-year-old male was admitted with diabetic ketoacidosis. A central venous catheter for fluid loading and insulin administration was inserted from the right femoral vein. The catheter was placed for 4days and was removal. Three days after removal thrombus was pointed out with echocardiography. Cardiac ultrasound revealed floating thrombi in the right atrium. Venography demonstrated a large thrombus from the right femoral vein to the end of the inferior vena cava. Emergency surgery was performed. A tubular thrombus was trapped from the inferior vena cava departure at the right atrium under cardiopulmonary bypass. The surgeon also implanted an inferior vena caval filter. The patient was weaned from ventilator assist next day and was discharged from the hospital 13 days later. This case suggests that deep vein thrombosis should be checked in diabetic ketoacidosis even after removal of a central venous catheter implanted at the femoral vein.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Morita
authors.forename: Jun
authors.initials: J
authors.lastname: Ariyama
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Mieda
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Terao
authors.forename: Hironobu
authors.initials: H
authors.lastname: Ueshima
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Imanishi
authors.forename: Akira
authors.initials: A
authors.lastname: Kitamura
mesh_terms: D002315:Cardiopulmonary Bypass; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D016883:Diabetic Ketoacidosis / Q000150:complications* / Q000628:therapy; D005268:Femoral Vein; D006325:Heart Atria; D006801:Humans; D008297:Male; D013927:Thrombosis; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000209:etiology* / Q000628:therapy; D055815:Young Adult