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Angiology
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Massive Right Atrial Thrombosis Due to Hickman Catheter Requiring Open Heart Surgery

A Case Report

Tahir Latif, MD

David M. Steiman, MD

Patricia Gagaoudakis, CCI CVT

The risk of catheter-related sepsis and clot formation in patients with an indwelling central venous line is well recognized. However the risk of developing a large thrombus in the right atrium is less well known. Right atrial thrombus can be a life-threatening complication of long- term indwelling catheters and should be considered in the workup of these patients. A case of a 71-year-old lady who developed a large atrial thrombus due to a Hickman catheter is reported that required open heart surgery. Incidence, pathophysiology, clinical presentation, diagnosis, and treatment options are also reviewed.

Angiology, Vol. 52, No. 6, 425-428 (2001)
DOI: 10.1177/000331970105200609
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