Right atrial thrombus associated with subclavian catheter developed due to total parenteral nutrition application
نویسندگان
چکیده
Central venous catheterization as a frequent routine clinical procedure may have significant complications. Mechanical complications may occur during catheter placement, whereas thromboembolic and infectious complications can be seen during follow-up. Total parenteral nutrition (TPN) associated central venous catheterizations may result in early mechanical complications and thrombotic and infectious complications in the long term. This paper describes a patient diagnosed as mitochondrial neurogastrointestinal encephalomyopathy requiring long-term central venous catheterization for TPN implementation, who had an infected thrombus on the catheter tip resected by cardiac surgery.
منابع مشابه
Total parenteral nutrition by central venous catheter complicated by right atrial septic thrombus.
Sir, Infectious complications of central venous catheters are well recognized.'2 Among them, right atrial septic thrombi, although rare, are usually fatal.3-5 We describe a patient with severe malabsorption due to alpha heavy chain disease, who began total parenteral nutrition by a silicone central venous catheter soon after admission. Two weeks later he developed pyrexia due to a right lower l...
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Central venous lines are of particular importance in seriously ill children that require parenteral nutrition, chemotherapy, or other medications. The jugular or subclavian veins are ordinarily used for primary access. Alternatives include the femoral veins, the intercostal veins, and transhepatic approaches. If the use of these standard sites of placement is made impossible, due, for example, ...
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BACKGROUND Total parenteral nutrition (TPN) via central venous catheter (CVC) is used routinely to provide adequate nutrition for neonates, especially those with very low birth weights (VLBWN). Pericardial effusion and cardiac tamponade (PCE/CT) is a potentially life-threatening CVC complication. DESIGN This autopsy study presents the gross and histopathologic findings in 5 neonates receiving...
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