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Online Images in the Medical Sciences| Volume 351, ISSUE 2, e3, February 2016

Central Venous Catheter–Associated Right Atrial Thrombus

Published:January 18, 2016DOI:https://doi.org/10.1016/j.amjms.2015.10.019
      A 26-year-old female recently diagnosed with stage III infiltrating ductal carcinoma of her left breast, was referred to our outpatient oncology clinic for initiation of chemotherapy. Her pretreatment workup was unremarkable, including a normal transthoracic echocardiogram (TTE) with an ejection fraction of 55%. She was referred to the vascular surgeon to establish intravenous access for treatment and on May 11, 2015 underwent central venous catheter (CVC) insertion in her right internal jugular vein. She received her first course of chemotherapy on May 12, which included carboplatin, docetaxel, pertuzumab and trastuzumab. She tolerated her first treatment well and received her second course of chemotherapy on June 11.
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      References

        • Rosovsky R.P.
        • Kuter D.J.
        Catheter-related thrombosis in cancer patients: pathophysiology, diagnosis, and management.
        Hematol Oncol Clin North Am. 2005; 19: 183-202
        • Gilon D.
        • Schechter D.
        • Rein A.J.
        • et al.
        Right atrial thrombi are related to indwelling central venous catheter position: insights into time course and possible mechanism of formation.
        Am Heart J. 1998; 135: 457-462