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Unusual Superior Vena Cava Thrombus (Partly Obstructive) Extending through Right Atrium to Eustachian Valve
Author(s) -
Munir Ahmad,
Minderman Daniel,
D'Cruz Ivan
Publication year - 2007
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2006.00354.x
Subject(s) - medicine , thrombus , eustachian tube , right atrium , catheter , inferior vena cava , gentamicin , surgery , superior vena cava , tricuspid valve , middle ear , antibiotics , microbiology and biotechnology , biology
A 50‐year‐old patient with end‐stage renal disease who was being dialyzed with an internal jugular catheter presented with fever. Transthoracic and transesophageal echo demonstrated a thrombus in the inferior venacava, protruding into the right atrium and extending to the eustachian valve to which it was adherent. Multiple organisms grew from the blood as well as the catheter tip. Antibiotic therapy was started with Vancomycin and Gentamicin but later changed to other combinations according to sensitivity studies. Coumadin was also given.