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European Heart Journal 1992 13(10):1441-1443;
Copyright © 1992 by the European Society of Cardiology.
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© 1992 The European Society of Cardiology

Infective right atrial thrombus: a rare complication of total parenteral nutrition in an adult

L. BADANO, L. CARRATINO, L. GIUNTA, P. CALISI and A. LUCATTI

Servizio di Cardiologia, Ospedale di Nervi Via Missolungi 14,16167 Genova, Italy

Received 16 October 1991; revised 16 October 1991; .

Correspondence: Luigi Badano, Serviao di Cardiologia, Ospedale di Nervi, Via Missolungi 14,16167 Genova, Italy

Abstract

We describe a case of an infective right atrial thrombus, following total parenteral nutrition, in a 21-year-old woman undergoing a surgical procedure for long-standing chronic ulcerative colitis. She presented with high temperature and the illness did not respond to antibiotic therapy. A 2-dimensional echo cardiogram showed a mobile right atrial mass that at surgery was identified as a thrombus. Thrombus cultures grew coagulase-negative Staphylococcus aureus.

Key Words: Right atrial thrombus • parenteral nutrition • echocardiography


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