Calcified right atrial mass related to implantable port – CE activity

"Intracardiac masses pose a difficult diagnostic and therapeutic dilemma. Indwelling catheters can lead to thrombus calcification causing untoward sequelae" Brungardt et al (2020).
Abstract:

INTRODUCTION: Intracardiac masses pose a difficult diagnostic and therapeutic dilemma. Indwelling catheters can lead to thrombus calcification causing untoward sequelae.

CASE PRESENTATION: We report on a patient who presented after computed tomography identified a large calcified right atrial mass. Her history included treatment for rectal cancer and breast cancer, thus we feared the mass could represent metastasis. The intracardiac mass was successfully resected via a right atriotomy. Her postoperative course was uneventful and the histopathology revealed a calcified thrombus.

DISCUSSION: In this report we discuss our findings and pre- and intraoperative considerations, as well as suggestions for management of implantable venous catheters. This is a rare complication of an indwelling catheter.

CONCLUSION: Operative management of intracardiac lesions is the standard of care. When related to implantable catheters, the best patient care would be prevention of such lesions. This would include routine flushing of the indwelling catheters and prompt removal once not in use.

Reference:

Brungardt, J.G., Kasi, A.K. and Kramer, J.B. (2020) Surgical Removal of a Calcified Right Atrial Mass Related to Venous Access port: A Case Report. International Journal of Surgery Case Reports. 69, p.44-47. doi: 10.1016/j.ijscr.2020.03.043.

Continuous Education Activity

Welcome to the IVTEAM continuing education multiple-choice quiz on Right atrial mass related to implantable port - CE activity. Once completed, you will be emailed the results of the quiz. We recommend you retain the email as proof of your continuing professional development. This is another free service provided by IVTEAM.

1. In conclusion, the authors recommend?
2. On discovery of the mass the patients baseline ECG was?
3. How many years had the implantable port been in situ?

Thank you for completing the Right atrial mass related to implantable port - CE activity multiple-choice quiz on the August 15, 2020.



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