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[A Thrombus in the Right Atrium Associated with Pyogenic Liver Abscess].

Hiroaki Yamamoto1, Masanori Takamatsu, Kohei Hamada

  • 1Department of Thoracic and Cardiovascular Surgery, Ureshino Medical Center, Ureshino, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|May 9, 2024
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Summary
This summary is machine-generated.

A rare case of bacterial liver abscess leading to a right atrial thrombus in an 82-year-old male was successfully treated. The patient underwent hepatic abscess drainage and surgical removal of the right atrial thrombus.

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Area of Science:

  • Hepatology
  • Cardiology
  • Infectious Diseases

Background:

  • Bacterial liver abscesses, while treatable, can lead to severe complications.
  • Thrombosis associated with liver abscesses is uncommon, particularly involving the right atrium.
  • Enterococcus faecalis is a known pathogen in biliary tract infections.

Purpose of the Study:

  • To report a rare case of bacterial liver abscess complicated by right atrial thrombus.
  • To describe the diagnostic and therapeutic approach for this unusual presentation.
  • To highlight the successful management of a complex hepatic and cardiac condition.

Main Methods:

  • Case report of an 82-year-old male with a history of cholangitis.
  • Identification of Enterococcus faecalis in bile and blood cultures.
  • Hepatic abscess drainage and surgical right atrial thrombectomy under cardiopulmonary bypass.

Main Results:

  • A bacterial liver abscess was identified as the source of a right atrial thrombus.
  • Enterococcus faecalis was confirmed as the causative agent.
  • The patient achieved a successful outcome following combined surgical interventions.

Conclusions:

  • Bacterial liver abscess can exceptionally lead to intracardiac thrombus formation.
  • Prompt diagnosis and aggressive surgical management are crucial for favorable outcomes.
  • This case underscores the importance of considering rare complications in liver abscess management.