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Updated: Jul 17, 2026

Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
Unusual superior vena cava thrombus (partly obstructive) extending through right atrium to eustachian valve
Ahmad Munir1, Daniel Minderman, Ivan D'Cruz
1Memphis VA Medical Center and University of Tennessee Health Science Center, Memphis Tennessee, USA.
Abstract:
A 50-year-old patient with end-stage renal disease who was being dialyzed with an internal jugular catheter presented with fever. Transthoracic and transesophageal echo demonstrated a thrombus in the inferior vena cava, protruding into the right atrium and extending to the eustachian valve to which it was adherent. Multiple organisms grew from the blood as well as the catheter tip. Antibiotic therapy was started with Vancomycin and Gentamicin but later changed to other combinations according to sensitivity studies. Coumadin was also given.
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