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Port-a-Cath complicated by right atrial thrombus

Minimally invasive thrombectomie without cardiopulmonary bypass

Port-a-Cath begleitende Thrombose des rechten Vorhofs: Minimal invasive Thrombektomie ohne Anwendung der extracorporalen Zirkulation

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Zusammenfassung.

Eine Thrombose im rechten Vorhof, die während einer chemotherapeutischen Behandlung auftritt, wird gewöhnlich konservativ behandelt. In dem vorliegenden Bericht wird ein minimalinvasives chirurgisches Vorgehen beschrieben, um einen rechtsatrialen Thrombus zu entfernen. Der Patient litt an wiederholten Lungenembolien. Die Operation wurde durch eine Minithorakotomie ohne extrakorporale Zirkulation während einer temporären Okklusion beider Vv. cavae durchgeführt. Der postoperative Verlauf war komplikationslos.

Summary.

Right atrial thrombosis during chemotherapy is commonly treated conservatively. We describe a minimally invasive surgical procedure to remove a right atrial thrombus in a patient with a history of recurrent lung embolism. Surgery was performed through a mini-thoracotomy without cardiopulmonary bypass during occlusion of both caval veins. Recovery was uneventful.

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References

  1. Niederhuber JE, Ensminger W, Gyves JW, Liepman M, Doan K, Cozzi E (1982) Totally implanted venous and arterial access system to replace external catheters in cancer treatment. Surgery 92:706–711

    CAS  PubMed  Google Scholar 

  2. Dollery CM, Sullivan ID, Bauranid O, Bull C, Milla PJ (1994) Thrombosis and embolism in long term central venous access for parenteral nutrition. Lancet 344:1043–1045

    Article  CAS  PubMed  Google Scholar 

  3. Fuchs S, Pollak A, Gilon D (1999) Central venous catheter mechanical irritation of the right atrial free wall: a cause for thrombus formation. Cardiology 91:169–172

    Article  CAS  PubMed  Google Scholar 

  4. Mezzani A, Bielli M, Zanetta M (1999) Thrombolytic treatment of type A right atrial trombi: description of three cases and review of the literature. G Ital Cardiol 29:441–446

    CAS  PubMed  Google Scholar 

  5. Ozimek W, Wroblewska-Kaluzewska M, Gadomski A, Sopylo B, Rokicka-Milewska R, Jaranowska D, Ebinger K, Malec Z, Brzewski M (2000) Echocardiographic assessment of right atrial thrombus related to the implanted port device in patient receiving chemotherapy for non-Hodgkin’s lymphoma. Med Sci Monit 6:1013–1017

    CAS  PubMed  Google Scholar 

  6. Mukharji J, Peterson JE (2000) Percutaneous removal of a large mobile right atrial thrombus using a basket retrieval device. Catheterization Cardiovascular Interventions 51:479–482

    CAS  Google Scholar 

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Authors and Affiliations

  1. Herzchirurgische Klinik, Klinikum Großhadern der Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Germany

    C. Vicol

  2. Herzchirurgische Klinik, Klinikum Großhadern der Ludwig-Maximilians-Universität, München, Germany

    G. Nollert, H. Mair & B. Reichart

Authors
  1. C. Vicol
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  2. G. Nollert
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  3. H. Mair
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  4. B. Reichart
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Corresponding author

Correspondence to C. Vicol.

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Vicol, C., Nollert, G., Mair, H. et al. Port-a-Cath complicated by right atrial thrombus. Z Kardiol 93, 706–708 (2004). https://doi.org/10.1007/s00392-004-0121-1

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  • DOI: https://doi.org/10.1007/s00392-004-0121-1

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