Surgical management of catheter tip thrombus: surgical therapy for right atrial thrombus and fungal endocarditis ( Candida tropicalis ) complicating paediatric sickle- cell disease

Hollingsed, M.J.; Morales, J.M.; Roughneen, P.T.; Burch, K.D.
May 1997
Perfusion;1997, Vol. 12 Issue 3, p197
Academic Journal
The use of indwelling central catheters for long-term administration of hyperalimentation, chemotherapy or other intravenous therapies is increasing. This unusual presentation of a catheter-induced right atrial thrombus was complicated by fungal infection. We present a case of a paediatric sickle- cell patient who underwent surgical removal of a right atrial thrombus secondary to fungal ( Candida tropicalis ) endocarditis from an indwelling catheter. Successful thrombus removal utilizing cardiopulmonary bypass and subsequent discharge underscores the importance of surgical therapy in treating this important complication.


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