Cor Vasa 2010, 52(10):609-612 | DOI: 10.33678/cor.2010.156

Unconventional application of systemic thrombolysis to a patient with infective endocarditis

Martina Hrošová*, Libor Škňouřil
Oddělení kardiologie, Kardiocentrum Nemocnice Podlesí, a. s., Třinec, Česká republika

We report the case of a younger adult female patient with a large right atrial lesion adherent to the tip of a port catheter. As an adjunct to antibiotic therapy, systemic thrombolysis enabled the safe removal of the catheter.

Keywords: Port catheter; Echocardiography; Infective endocarditis; Thrombolysis

Published: October 1, 2010  Show citation

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Hrošová M, Škňouřil L. Unconventional application of systemic thrombolysis to a patient with infective endocarditis. Cor Vasa. 2010;52(10):609-612. doi: 10.33678/cor.2010.156.
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    References

    1. Kurul S, Saip P, Aydin T. Totally implantable venous-access ports: local problems and extravasation injury. Lancet Oncol 2002;3:684-693. Go to original source... Go to PubMed...
    2. Chang L, Tsai JS, Huang SJ, Shih CC. Evaluation of infectious complications of the implantable venous access system in a general oncologic population. Am J Infect Control 2003;31:34-39. Go to original source... Go to PubMed...
    3. Biffi R, de Braud F, Orsi F, et al. Totally implantable central venous access port for long term chemotherapy. Ann Oncol 1988;9:767-773. Go to original source... Go to PubMed...
    4. Silver DF, Hempling RE, Recio FO, et al. Complications related to indwelling caval catheters on a gynecologic oncology services. Gynecol Oncol 1998;70:329-333. Go to original source... Go to PubMed...
    5. Beneš J, Gregor P, Mokráček A. Infekční endokarditida. Doporučené postupy diagnostiky, léčby, dispenzarizace a profylaxe. Cor Vasa 2007;49:157-171.
    6. Fiedler J. Role echokardiografie v diagnostice infekční endokarditidy. Postgrad Med 2010;12:16-21.
    7. Šetina M. Chirurgická léčba infekční endokarditidy. Postgrad Med 2010;12:47-50.
    8. Grammes JA, Schulze CM, Al-Bataineh M, et al. Percutaneous pacemaker and implantable cardioverter defibrillator lead extraction in 100 patients with intracardiac vegetations defined by transesophageal echocardiogram. J Am Coll Cardiol 2010;55:886-894. Go to original source... Go to PubMed...
    9. Mirrales A, Moncada V, Chevez H, et al. Pacemaker endocarditis: approach for lead extraction with large vegetations. Ann Thorac Surg 2001;72:2130-2132. Go to original source... Go to PubMed...
    10. Levitas A, Zucker N, Zalzstein E, et al. Successful treatment of infective endocarditis with recombinant tissue plasminogen activator. J Pediatr 2003;143:649-652. Go to original source... Go to PubMed...
    11. Marks KA, Zucker N, Kapelushnik J, et al. Infective endocarditis successfully treated in extremely low birth weight infants with recombinant tissue plasminogen activator. Pediatrics 2002;109:153-158. Go to original source... Go to PubMed...
    12. Volkow P, Cornejo-Juárez, Arizpe-Bravo AB, et al. Catheter-related septic thrombophlebitis of the great central veins successfully treated with low-dose streptokinase thrombolysis and antimicrobials. Thromb J 2005;3:11. Go to original source... Go to PubMed...
    13. Gunes AM, Bostan OM, Baytan B, Semizel E. Treatment of infective endocarditis with recombinant tissue plasminogen activator. Pediatr Blood Cancer 2008;50:132-134. Go to original source... Go to PubMed...
    14. Block A, Thursky KA, Worth LJ, Slavin MA. Thrombolytic therapy for management of complicated catheter-related Candida albicans thrombophlebitis. Intern Med J 2009;39:61-63. Go to original source... Go to PubMed...
    15. Mathur M, Desai N, Sharma J, et al. Management of a large organized intraatrial catheter-tip trombus in a child with acquired immunodeficiency syndrome using escalating tissue plasminogen activator infusions. Pediatr Crit Care Med 2005;6:79-82. Go to original source... Go to PubMed...
    16. Torbicki A, Perrier A, Konstantinides S, et al. Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). Eur Heart J 2008:29;2276-2315.
    17. Widimský J, Malý J, Roztočil K. Kapesní verze doporučených postupů pro diagnostiku, léčbu a prevenci plicní embolie. Cor Vasa 2010;52(Suppl 1):19.
    18. Dytrych V, Bělohlávek J, Kovárník T, et al. Trombolytická léčba u akutní plicní embolie. Cor Vasa 2008;50:246-253. Go to original source...

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