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

Author:

Ferreira David12ORCID,Le Anthony3,Khoo John1,Nguyen Paul1,Jain Manish3,Spicer Timothy24,Juergens Craig12

Affiliation:

1. Department of Cardiology, Liverpool Hospital, NSW, 2170 Sydney, Australia

2. Department of Medicine, University of New South Wales, NSW, 2052 Sydney, Australia

3. Department of Cardiothoracic Surgery, Liverpool Hospital, NSW, 2170 Sydney, Australia

4. Department of Nephrology, Liverpool Hospital, NSW, 2170 Sydney, Australia

Abstract

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.

Publisher

Hindawi Limited

Subject

Cardiology and Cardiovascular Medicine

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