Key result
Hickman catheter use can lead to fatal right atrial thrombus and tricuspid valve obstruction in immunocompromised patients.
Highlights the rare but fatal complication of right atrial thrombus and tricuspid valve obstruction associated with Hickman catheter use.
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May warrant vigilance for catheter-related thrombi in immunocompromised patients; leaves open incidence, prevention, and management questions.
The risk of catheter-related sepsis is well recognized in immunocompromised patients with an indwelling central venous line, but the hazard of thrombus involving the right atrium is less well known. We report the case of a child who died after intraartrial thrombus obstructed the tricuspid valve. The predisposing factors and available treatment strategies are discussed.
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Williams et al. (1988) studied this question. Hickman catheter use can lead to fatal right atrial thrombus and tricuspid valve obstruction in immunocompromised patients.
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