loading page

Cather-related right atrial thrombosis: a case series and literature review
  • Raul Cruz Palomera,
  • Juan Francisco Rodríguez Alvarado,
  • Jorge Guillermo Arenas Fonseca
Raul Cruz Palomera
Instituto Mexicano del Seguro Social

Corresponding Author:[email protected]

Author Profile
Juan Francisco Rodríguez Alvarado
Instituto Mexicano del Seguro Social
Author Profile
Jorge Guillermo Arenas Fonseca
Instituto Mexicano del Seguro Social
Author Profile

Abstract

-Background: Complications associated with central venous catheters, such as right atrial thrombosis, are a common but poorly recognized complication. Therefore, it is important to describe the follow-up and the various forms of treatment along with the responses associated with it; Because if the approach is delayed, this leads to a higher rate of complications and morbidity and mortality. -Case presentation: This case series presented three patients with catheter-related thrombosis. The first patient was a 55-year-old man who presented with short bowel syndrome requiring the placement of parenteral nutrition through a central venous catheter, which was complicated by thrombosis; During the approach he remained stable, so he was managed with anticoagulation with an adequate response. The second case was a 56-year-old woman who presented with chronic kidney disease and started renal replacement therapy with hemodialysis, but it progressed poorly with the formation of a thrombus in the Mahurkar catheter, which caused obstruction of the tricuspid valve, so it was managed with surgical thrombectomy with a favorable development.The third patient was a 31-year-old man with chronic kidney disease and renal replacement treatment with hemodialysis that was complicated by the generation of a thrombus in the Mahurkar catheter, who was hemodynamically stable, so he was treated only with anticoagulation with favorable resolution. -Conclusions: Although there is no standardized treatment in these patients, the approach and management must be based on the experience of the medical center in addition to the characteristics related to the patient and the thrombus, associated with the patient’s hemodynamic status. Therefore, it is important to highlight in our series the use of various treatments which were adapted to the characteristics of the cases that finally led to an adequate clinical evolution.