Right Atrial Mass Associated with a Dialysis Catheter
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c 2011 Wiley Periodicals, Inc. 1 IMAGES IN CARDIAC SURGERY Right Atrial Mass Associated with a Dialysis Catheter Justin Chan, M.B.B.S., Jitendra Kumar, M.B.B.S., Andrew Cheng, M.B.B.S., Cheng-Hon Yap, F.R.A.C.S., M.S., and Xiao Bo Zhang, F.R.A.C.S., M.S. Department of Cardiothoracic Surgery, Geelong Hospital, Geelong, Victoria, Australia doi: 10.1111/j.1540-8191.2011.01367.x (J Card Surg 2011;**:1) A 52-year-old female with end-stage renal failure was noted on a pretransplant echocardiogram to have a 3.5 cm × 2 cm mass in the right atrium asso- ciated with the tip of a previously placed dialysis catheter (Fig. 1). At the time of surgery, work- ing through a right anterior minithoracotomy ap- proach with right internal and femoral vein venous catheters and a right femoral arterial cannula, the mass Figure 1. Transesophageal echocardiogram. Financial support: No external financial support. Conflict of interest: None. Address for correspondence: Justin Chan, Department of Cardio- thoracic Surgery, Geelong Hospital, Level 4, Kardinia House, Cor- ner of Ryrie and Bellarine Streets, Geelong, VIC 3220, Australia. Fax: +61 3 5260 3141; e-mail: [email protected] was completely excised along with a small cuff of right atrium (Fig. 2). The dialysis catheter was removed. Microscopic analysis revealed a thrombotic mass with areas of early organization. The patient had an uncomplicated postoperative course. Figure 2. Broad based, organized right atrial thrombus removed at surgery .
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Transcript of Right Atrial Mass Associated with a Dialysis Catheter
c© 2011 Wiley Periodicals, Inc. 1
IMAGES IN CARDIAC SURGERY
Right Atrial Mass Associatedwith a Dialysis CatheterJustin Chan, M.B.B.S., Jitendra Kumar, M.B.B.S., Andrew Cheng, M.B.B.S.,
Cheng-Hon Yap, F.R.A.C.S., M.S., and Xiao Bo Zhang, F.R.A.C.S., M.S.
Department of Cardiothoracic Surgery, Geelong Hospital, Geelong, Victoria, Australia
doi: 10.1111/j.1540-8191.2011.01367.x (J Card Surg 2011;**:1)
A 52-year-old female with end-stage renal failurewas noted on a pretransplant echocardiogram to havea 3.5 cm × 2 cm mass in the right atrium asso-ciated with the tip of a previously placed dialysiscatheter (Fig. 1). At the time of surgery, work-ing through a right anterior minithoracotomy ap-proach with right internal and femoral vein venouscatheters and a right femoral arterial cannula, the mass
Figure 1. Transesophageal echocardiogram.
Financial support: No external financial support.Conflict of interest: None.
Address for correspondence: Justin Chan, Department of Cardio-thoracic Surgery, Geelong Hospital, Level 4, Kardinia House, Cor-ner of Ryrie and Bellarine Streets, Geelong, VIC 3220, Australia.Fax: +61 3 5260 3141; e-mail: [email protected]
was completely excised along with a small cuff of rightatrium (Fig. 2). The dialysis catheter was removed.
Microscopic analysis revealed a thrombotic masswith areas of early organization. The patient had anuncomplicated postoperative course.
Figure 2. Broad based, organized right atrial thrombusremoved at surgery .
