Calcified Thrombus in Right Atrium: Rare but Treatable Complication of Long-term Indwelling Central Venous Catheter

Marianna Fabi, Valentina Gesuete, Gabriella Testa, Anna Balducci, Fernando Maria Picchio, Gaetano Gargiulo

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.



doi:10.4021/cr24w


Keywords


Catheter-related central thrombosis; Calcified thrombus; Complication; Surgical removal

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