title: Calcified Thrombus in Right Atrium: Rare but Treatable Complication of Long-term Indwelling Central Venous Catheter.
abstract: Catheter-related central thrombosis is a rare complication of long-term central line. We describe the case of an asymptomatic boy who was diagnosed a calcified thrombus in right atrium eight years after the removal of a long-term central venous device. Although the most appropriate therapeutic approach for managing floating right heart thrombi remains to be determined, surgical removal is an effective and safe procedure for calcified long-standing thrombus and it is to be preferred in elective conditions especially in young asymptomatic patients without hemodynamic involvement, that are at low risk of surgery-related morbidity and mortality.
authors.affiliation: Pediatric Cardiology Unit, S.Orsola-Malpighi Hospital, Bologna, Italy.
authors.forename: Marianna
authors.initials: M
authors.lastname: Fabi
authors.affiliation: Pediatric Cardiology Unit, S.Orsola-Malpighi Hospital, Bologna, Italy.
authors.forename: Valentina
authors.initials: V
authors.lastname: Gesuete
authors.affiliation: Pediatric Cardiology Unit, S.Orsola-Malpighi Hospital, Bologna, Italy.
authors.forename: Gabriella
authors.initials: G
authors.lastname: Testa
authors.affiliation: Pediatric Cardiology Unit, S.Orsola-Malpighi Hospital, Bologna, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Balducci
authors.affiliation: Pediatric Cardiology Unit, S.Orsola-Malpighi Hospital, Bologna, Italy.
authors.forename: Fernando Maria
authors.initials: FM
authors.lastname: Picchio
authors.affiliation: Pediatric Cardiac Surgery Unit, S.Orsola-Malpighi Hospital, Bologna, Italy.
authors.forename: Gaetano
authors.initials: G
authors.lastname: Gargiulo
keywords: Calcified thrombus; Catheter-related central thrombosis; Complication; Surgical removal