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Surgical Management of Right Atrial Mass Associated with a Vascular Access Catheter

Atrial masses are an uncommon but serious clinical problem. The authors report a case of an atrial mass associated with a tunnelled vascular access catheter in an immunosuppressed haemodialysis patient. In the setting of immunosuppression with fevers, a broad differential for the atrial mass was con...

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Detalles Bibliográficos
Autores principales: Ferreira, David, Le, Anthony, Khoo, John, Nguyen, Paul, Jain, Manish, Spicer, Timothy, Juergens, Craig
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305527/
https://www.ncbi.nlm.nih.gov/pubmed/32577314
http://dx.doi.org/10.1155/2020/4590147
Descripción
Sumario:Atrial masses are an uncommon but serious clinical problem. The authors report a case of an atrial mass associated with a tunnelled vascular access catheter in an immunosuppressed haemodialysis patient. In the setting of immunosuppression with fevers, a broad differential for the atrial mass was considered. Multidisciplinary team review was pursued to guide management decisions. Ultimately, surgical excision of the mass was pursued with an excellent result. The causes and management of this complex clinical scenario are discussed.