Haemodialysis catheter-related giant right atrial and superior cava thrombi.

A 22-year-old woman with end-stage renal failure secondary to membranoproliferative glomerulonephritis presented with methicillin-sensitive Staphylococcu s aureus sepsis from an infected haemodialysis catheter-related giant right atrial (RA) thrombus (figure 1A) with an additional mobile thrombus in the superior vena cava (SVC; figure 1B, C). The patient was undergoing haemodialysis via a tunnelled dual lumen 13.5 Fr, 36 cm Hickman chronic dialysis catheter inserted 9 months prior (figure 1D). Thrombophilia screening was negative. Figure 1 Transoesophageal echocardiography demonstrating cardiac thrombi (thick red arrows) in the SVC–right atrial junction (A and B) and a giant thrombus attached to the lateral wall of the RA (C); the thombus extended onto the TV with preservation of the valve …