Surgical Removal of a Right Atrial Thrombus Complicated with Long-term Use of a Venous Port Using a PCPS (Percutaneous Cardiopulmonary Support) Kit.

VernacularTitle:ＰＣＰＳ回路を用いた長期の皮下埋め込み型中心静脈カテーテル（ｖｅｎｏｕｓ　ｐｏｒｔ）端血栓の摘出
Author: Hiroo Shikata ; Shigeru Sakamoto ; Hisateru Nishizawa ; Shinji Shono ; Toshiaki Matsubara ; Junichi Matsubara
Publication Type:Journal Article
From:Japanese Journal of Cardiovascular Surgery 2001;30(6):302-304
CountryJapan
Language:Japanese
Abstract: 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.