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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.10
- 수록면
- 114 - 116 (3page)
- DOI
- 10.22468/cvia.2022.00129
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초록· 키워드
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Isolated right atrial (RA) thrombus at the catheter tip is an uncommon complication of central venous catheter placement. We present the case of a 41-year-old woman with end-stage renal disease who underwent regular hemodialysis via a permanent right subclavian catheter.
A large RA mass was found on echocardiographic workup for recurrent intradialytic hypotension. Subsequent cardiac computed tomography demonstrated an RA thrombus at the catheter tip. After treatment with an anticoagulant, the thrombus dislodged toward the tricuspid valve inflow, causing significant obstruction. Emergency surgical mass removal was successful and the postoperative period was uneventful. This case highlights the importance of proper positioning of indwelling central venous catheters to prevent this unusual complication, which required emergency surgery.
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