Lanza Daniela, Paolini Rossella, Rodella Elisabetta, Danesi Tommaso Hinna, Cresce Giandomenico, Salvador Loris, Roncon Loris
U.O.C. Cardiologia, Ospedale Santa Maria della Misericordia, Rovigo.
U.O.C. Ematologia, Ospedale Santa Maria della Misericordia, Rovigo.
G Ital Cardiol (Rome). 2016 May;17(5):388-90. doi: 10.1714/2252.24270.
Central venous catheters (CVC) are commonly used in clinical practice. Although long-term complications are uncommon, catheter-related right atrial thrombosis is a rare but potentially life-threatening one. The optimal management is still controversial. We report the case of a young woman affected by Hodgkin lymphoma with CVC-related right atrial thrombosis diagnosed during routine echocardiography. After initial anticoagulation treatment, she complicated with pulmonary embolism, and the mass was surgically removed via a minimally invasive approach with right minithoracotomy access. Surgery was well tolerated, without complications and with prompt recovery. This case confirms how CVC can lead to thrombosis in the right atrium and how this complication can rapidly deteriorate. Moreover, the possible treatment options for the successful management of this complication are discussed, along with the available literature, showing the advantages of a minimally invasive approach.
中心静脉导管(CVC)在临床实践中常用。虽然长期并发症并不常见,但导管相关的右心房血栓形成是一种罕见但可能危及生命的并发症。最佳治疗方案仍存在争议。我们报告一例年轻女性霍奇金淋巴瘤患者,在常规超声心动图检查时诊断为CVC相关的右心房血栓形成。初始抗凝治疗后,她并发肺栓塞,通过右侧小切口胸腔镜微创入路手术切除肿块。手术耐受性良好,无并发症,恢复迅速。该病例证实了CVC如何导致右心房血栓形成以及这种并发症如何迅速恶化。此外,结合现有文献讨论了成功处理该并发症的可能治疗选择,显示了微创入路的优势。