Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AB, T6G 2B7, Canada.
Division of Congenital Cardiac Surgery, University of Alberta, Edmonton, AB, T6G 2B7, Canada.
Future Cardiol. 2023 Feb;19(2):87-90. doi: 10.2217/fca-2023-0004. Epub 2023 Mar 28.
Infection is among the leading causes of mortality for patients with end-stage renal disease. The placement of catheters for hemodialysis are common culprits of infection and have been associated with the development of complications such as venous thrombosis, bacteremia and thromboembolism. Calcification of a venous thrombus is a rare complication and infection of a right-sided thrombus can result in life-threatening septicemia and embolic complications. Herein, we describe the case of a 46-year-old patient found to have a calcified superior vena cava thrombus and bacteremia refractory to antibiotic therapy requiring surgical intervention under circulatory arrest to remove the infected thrombus gaining infectious source control and preventing future complications.
感染是终末期肾病患者死亡的主要原因之一。血液透析导管的放置是感染的常见原因，并与静脉血栓形成、菌血症和血栓栓塞等并发症的发展有关。静脉血栓钙化是一种罕见的并发症，右侧血栓感染可导致危及生命的败血症和栓塞性并发症。在此，我们描述了 1 例 46 岁患者的病例，该患者发现上腔静脉血栓钙化和菌血症，对抗生素治疗无反应，需要在循环停止下进行手术干预以切除感染的血栓，以获得感染源控制并预防未来的并发症。
