Kosin Medical Journal  2013;28(1):61-65

doi:10.7180/kmj.2013.28.1.61

Giant Right Atrial Thrombus associated with Tunneled Cuffed Hemodialysis Catheter: A Case of Successful Treatment with Thrombolytic Agent and Anticoagulant.

Young Jin SONG 1 ; Young Ki LEE ; Sun Ryoung CHOI ; Ji Hyun KIM ; Sun Woo KIM ; Jung Woo NOH

Affiliations

+expand

Keywords

Catheter; Renal Dialysis; Thrombolytic Therapy; Thrombosis

Country

Republic of Korea

Language

Korean

Abstract

There are a variety of tunneled cuffed hemodialysis catheter-related complications including infection, thrombus formation, and catheter dysfunction. Catheter-related thrombus in right atrium is a rare complication and treatment guideline for atrial thrombus does not exist. A 3.0x2.8 cm sized giant atrial thrombus was found in a 35-year-old female hemodialysis patient. She was treated with catheter removal, thrombolysis and anticoagulation therapy. Size of atrial thrombus was gradually decreased and left ventricular systolic function was clearly improved after treatment. We experienced and reported a case of giant right atrial thrombus associated with tunneled cuffed hemodialysis catheter that was successful treated with thrombolytic agent and anticoagulant.