Calcified thrombus in the right atrium: A rare complication of long-term parenteral nutrition in a child

Tarantino, Michael D.; Vasu, M. A.; Drak, Terry H. Von; Crowe, C. Peter; Udall, John N.

doi:10.1016/0022-3468(91)90437-x

Cited by 14 publications

(6 citation statements)

References 21 publications

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“…One of the aforementioned children had a normal CXR despite presence of a calcified thrombus. This correlates with our finding of normal CXR despite a radiopaque density and presumed calcification on CT scan [14].…”

Section: Discussionsupporting

confidence: 86%

“…Four other cases involving calcified thrombus in the right atrium associated with central venous catheterization have been reported [1,[12][13][14]. One involved an adult woman receiving long-term intravenous phosphate therapy [12], and the remaining three involved children receiving TPN [1,13,14].…”

Section: Discussionmentioning

confidence: 98%

“…One involved an adult woman receiving long-term intravenous phosphate therapy [12], and the remaining three involved children receiving TPN [1,13,14]. One of the aforementioned children had a normal CXR despite presence of a calcified thrombus.…”

Section: Discussionmentioning

confidence: 99%

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Calcified catheter “cast” masquerading as a retained catheter fragment after removal of an implanted venous access device

et al. 2007

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Calcified catheter "cast" found on radiologic studies after central venous catheter removal is a rare complication that has been reported twice. Both cases were associated with thrombus. In this case report, we present a 15-year-old boy with acute lymphoblastic leukemia who demonstrated on CT scan a radiopacity in his left brachiocephalic vein after removal of an implanted venous access device. This was initially thought to be a retained catheter fragment. Diagnostic studies, including venogram, excluded the presence of a retained catheter fragment. Additional procedures to retrieve a nonexistent catheter fragment were thus avoided. Therefore, a catheter "cast" should be considered as part of the differential diagnosis when calcification is found on an imaging study after removal of an implantable venous access device to prevent an unwarranted surgical exploration.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 98%

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Calcified catheter “cast” masquerading as a retained catheter fragment after removal of an implanted venous access device

et al. 2007

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“…Catheter-related central venous thrombosis has been reported previously as a frequent complication of both superior vena cava and inferior vena cava catheterization [1][2][3][4]. Less commonly, pericatheter calcification and calcification of a thrombus originating from the tip of a central venous catheter (CVC) have also been reported.…”

mentioning

confidence: 97%

Formation of a calcified “cast” in a long-term indwelling central venous catheter: a case report

Hughes

Ullery

Spigland

2006

Journal of Pediatric Surgery

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“…Blood could not be aspirated from the IVC catheter and an IVC contrast study demonstrated the calcified thrombus. 18 Greaney et al presented a 2 cm mobile mass in the left ventricular outflow tract and symptoms of left heart failure and stroke. Pathological examination revealed it as an amorphous tumor.…”

Section: Discussionmentioning

confidence: 99%

Calcified Amorphous Tumor of the Heart with Purple Digit

Sabzi

Karim

Eizadi

et al. 2014

J Cardiovasc Thorac Res

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A calcified amorphous tumor (CAT) of the right atrium (RA) is an exceedingly rare non-neoplastic cardiac mass. It was initially described in 1997 and only a handful of cases has been published so far. We present a case of tumor in 77-year-old male, in the RA that attached to the rim of the fossa ovalis, with classic pathological and clinical findings. Under cardiopulmonary bypass (CPB) and bicaval and aortic cannulation and cardioplegic arrest, right atrial mass, was resected and septal defect was repaired with a fresh pericardial patch. Pathological exam of the mass revealed CAT. The patient had an uneventful hospitalization and his blue discoloration of finger recovered normally.

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Calcified thrombus in the right atrium: A rare complication of long-term parenteral nutrition in a child

Cited by 14 publications

References 21 publications

Calcified catheter “cast” masquerading as a retained catheter fragment after removal of an implanted venous access device

Calcified catheter “cast” masquerading as a retained catheter fragment after removal of an implanted venous access device

Formation of a calcified “cast” in a long-term indwelling central venous catheter: a case report

Calcified Amorphous Tumor of the Heart with Purple Digit

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