Article Tags: thrombus

Hemodialysis Catheter-Associated Right Atrial Thrombus Diagnosed via Point of Care Transesophageal Echocardiogram

Heather Andrade, MD; Julie Carroll, MD; Evan Tomkiewicz, MD; Edwin Jackson, DO MBA RDCS – Catheter-associated right atrial thrombus (CRAT) is a potential complication of central venous catheter placement and is associated with an increase in morbidity and mortality. The precise incidence of CRAT is unknown, and there is a lack of clear screening and management guidelines for this condition. Additionally, the diagnosis is often missed when using transthoracic echocardiography (TTE) alone. Here, we present a case of a 64-year-old female admitted to the medical intensive care unit with multiorgan dysfunction who was diagnosed with hemodialysis catheter-associated right atrial thrombus (HDCRAT) via intensivist-performed point of care transesophageal echocardiography (TEE) after an initial TTE was negative.

Role of POCUS in Assessing an Acute Aortic Thrombus

Zachary Boivin; Emily Mensel; Trent She – A 67-year-old female patient with a past medical history of hypertension presented to the emergency department (ED) with abdominal pain. She reported intermittent palpitations for the past three months, fevers for one week, and a recent admission three days prior for a pleural effusion and atrial fibrillation.