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Case Reports
. 2010 Jun;3(3):306-309.
doi: 10.1093/ndtplus/sfq018. Epub 2010 Mar 9.

Central venous catheter-related right atrial thrombus in two kidney transplantation recipients

Nilufer Oguzhan  1 , Aydin Unal  1 , Mikail Yarlıogluesi  2 , Oktay Oymak  1 , Cengiz Utas  1
Affiliations
Case Reports

Central venous catheter-related right atrial thrombus in two kidney transplantation recipients

Nilufer Oguzhan et al. NDT Plus. 2010 Jun.

Abstract

Right atrial thrombus formation is a known mechanical complication of central venous catheter insertion, with an incidence of between 1.9% and 42%. There is an increased risk of thromboembolism following renal transplantation. However, a right atrial thrombosis is rarely reported in renal transplant recipients. Here, we report two cases of renal transplant recipients in whom a right atrial thrombus developed after kidney transplantation. One of them required surgery, whereas the other patient recovered after being given an anticoagulant therapy with warfarin.

Keywords: anticoagulant therapy; central venous catheter; kidney transplantation; right atrial thrombus; surgery treatment.

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Figures

Fig. 1
Fig. 1
A. The arrow shows an oval mass measuring ~2.5 × 2.0 cm in the right atrium in transthoracic echocardiography. B. The arrow shows a mass measuring ~2.5 × 2.0 cm in the right atrium in transesophageal echocardiography.
Fig. 2
Fig. 2
It is seen that the mass measuring ~3.0 × 2.0 cm was removed by cardiac surgery.
Fig. 3
Fig. 3
A. The arrow indicates a thrombus formation measuring ~3.5 × 0.8 cm within the right atrium in transthoracic echocardiography. B. The arrow shows a mass with irregular margins measuring ~3.5 × 0.9 cm extending from the superior vena cava to the right atrium in transesophageal echocardiography.
See this image and copyright information in PMC

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