| Surgical Removal of a Right Atrial
Thrombus Complicated with Long-term Use of a Venous Port Using
a PCPS (Percutaneous Cardiopulmonary Support) Kit |
(Department of Thoracic and Cardiovascular Surgery,
Kanazawa Medical University, Ishikawa, Japan)
| Hiroo Shikata |
Shigeru Sakamoto |
Hisateru Nishizawa |
| Shinji Shono |
Toshiaki Matsubara |
Junichi Matsubara |
|
A 15-year-old boy who had been treated
for TOF (tetralogy of Fallot) at 3 years of age was admitted
with dysphagia due to esophageal stenosis. He also suffered from
malrotation of the intestine. The esophageal stenosis was caused
by recurrent cyclic vomiting and subsequent esophagitis. Three
years earlier, he had received an implantation of a totally implantable
central venous access device via the right cephalic vein. Echocardiography
revealed a floating mass in his right atrium, which was assumed
to be a thrombus at the catheter tip of the central venous access
device. We suspected that the cause of atrial thrombus in this
case was complicated by the long-term (3 years) use of the venous
central port. He was suspected to have a pulmonary embolism.
A perfusion lung scan (99mTc-MAA) revealed multiple diminished
uptake in both lungs. The thrombus was removed successfully under
partial cardiopulmonary bypass. The postoperative course was
uneventful.
Jpn. J. Cardiovasc. Surg. 30: 302-304(2001) |
|
