Surgical retrieval of PICC-related right atrial thrombus in a child with acute lymphoblastic leukemia: a case report
Abstract Background Peripherally inserted central catheters (PICCs) are widely used in cancer patients for administering chemotherapy drugs, antibiotics, and nutrients. PICC-related thrombi are not uncommon and may result in pulmonary embolism and the formation of thrombi in the right atrium. The la...
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12872-020-01536-8 |
| _version_ | 1828968200040087552 |
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| author | Yu Lan Luo Jinmei Zhang Menglin Tang |
| author_facet | Yu Lan Luo Jinmei Zhang Menglin Tang |
| author_sort | Yu Lan Luo |
| collection | DOAJ |
| description | Abstract Background Peripherally inserted central catheters (PICCs) are widely used in cancer patients for administering chemotherapy drugs, antibiotics, and nutrients. PICC-related thrombi are not uncommon and may result in pulmonary embolism and the formation of thrombi in the right atrium. The latter are associated with an increased risk of subsequent morbidity or mortality because of their potential for embolization in the pulmonary vasculature. Case presentation A 16-year-old male with acute lymphoblastic leukemia (ALL) was admitted to our hospital after an echocardiographic examination revealed a ring-like structure in the right atrium that was still present after 6 months’ anticoagulation treatment with aspirin. The boy had had a PICC inserted 2 years previously for chemotherapy; the PICC was intact and successfully removed 18 months after insertion when chemotherapy is finished. Subsequent computer tomography and radiography differentiated right atrial ring-shaped mass with a diameter of approximately 15 mm. Cardiac surgery was performed to remove the mass which was found to be a calcified thrombus. Conclusion Although this is a rare occurrence, recognition of the possibility of a calcified thrombus may minimize the misdiagnosis of PICC-related thrombus and allow surgical retrieval if the thrombus is sufficiently large. |
| first_indexed | 2024-12-14T12:05:54Z |
| format | Article |
| id | doaj.art-a9151ba388704575b52da645635397d8 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-14T12:05:54Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-a9151ba388704575b52da645635397d82022-12-21T23:01:52ZengBMCBMC Cardiovascular Disorders1471-22612020-05-012011510.1186/s12872-020-01536-8Surgical retrieval of PICC-related right atrial thrombus in a child with acute lymphoblastic leukemia: a case reportYu Lan Luo0Jinmei Zhang1Menglin Tang2Department of Pediatric Intensive Care Unit, West China Hospital, Sichuan UniversityDepartment of Pediatric Intensive Care Unit, West China Hospital, Sichuan UniversityDepartment of Pediatric Intensive Care Unit, West China Hospital, Sichuan UniversityAbstract Background Peripherally inserted central catheters (PICCs) are widely used in cancer patients for administering chemotherapy drugs, antibiotics, and nutrients. PICC-related thrombi are not uncommon and may result in pulmonary embolism and the formation of thrombi in the right atrium. The latter are associated with an increased risk of subsequent morbidity or mortality because of their potential for embolization in the pulmonary vasculature. Case presentation A 16-year-old male with acute lymphoblastic leukemia (ALL) was admitted to our hospital after an echocardiographic examination revealed a ring-like structure in the right atrium that was still present after 6 months’ anticoagulation treatment with aspirin. The boy had had a PICC inserted 2 years previously for chemotherapy; the PICC was intact and successfully removed 18 months after insertion when chemotherapy is finished. Subsequent computer tomography and radiography differentiated right atrial ring-shaped mass with a diameter of approximately 15 mm. Cardiac surgery was performed to remove the mass which was found to be a calcified thrombus. Conclusion Although this is a rare occurrence, recognition of the possibility of a calcified thrombus may minimize the misdiagnosis of PICC-related thrombus and allow surgical retrieval if the thrombus is sufficiently large.http://link.springer.com/article/10.1186/s12872-020-01536-8Peripherally inserted central cathetersRight atrial thrombusAcute lymphoblastic leukemiaCase report |
| spellingShingle | Yu Lan Luo Jinmei Zhang Menglin Tang Surgical retrieval of PICC-related right atrial thrombus in a child with acute lymphoblastic leukemia: a case report BMC Cardiovascular Disorders Peripherally inserted central catheters Right atrial thrombus Acute lymphoblastic leukemia Case report |
| title | Surgical retrieval of PICC-related right atrial thrombus in a child with acute lymphoblastic leukemia: a case report |
| title_full | Surgical retrieval of PICC-related right atrial thrombus in a child with acute lymphoblastic leukemia: a case report |
| title_fullStr | Surgical retrieval of PICC-related right atrial thrombus in a child with acute lymphoblastic leukemia: a case report |
| title_full_unstemmed | Surgical retrieval of PICC-related right atrial thrombus in a child with acute lymphoblastic leukemia: a case report |
| title_short | Surgical retrieval of PICC-related right atrial thrombus in a child with acute lymphoblastic leukemia: a case report |
| title_sort | surgical retrieval of picc related right atrial thrombus in a child with acute lymphoblastic leukemia a case report |
| topic | Peripherally inserted central catheters Right atrial thrombus Acute lymphoblastic leukemia Case report |
| url | http://link.springer.com/article/10.1186/s12872-020-01536-8 |
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