Author/Authors :
Ferreira, David Department of Cardiology - Liverpool Hospital, NSW, Sydney, Australia , Le, Anthony Department of Cardiothoracic Surgery - Liverpool Hospital, NSW, Sydney, Australia , Khoo, John Department of Cardiology - Liverpool Hospital, NSW, Sydney, Australia , Nguyen, Paul Department of Cardiology - Liverpool Hospital, NSW, Sydney, Australia , Jain, Manish Department of Cardiothoracic Surgery - Liverpool Hospital, NSW, Sydney, Australia , Spicer, Timothy Department of Medicine - University of New South Wales, NSW, Sydney, Australia , Juergens, Craig Department of Medicine - University of New South Wales, NSW, Sydney, Australia
Abstract :
Atrial masses are an uncommon but serious clinical problem. The authors report a case of an atrial mass associated with a tunnelled
vascular access catheter in an immunosuppressed haemodialysis patient. In the setting of immunosuppression with fevers, a broad
differential for the atrial mass was considered. Multidisciplinary team review was pursued to guide management decisions.
Ultimately, surgical excision of the mass was pursued with an excellent result. The causes and management of this complex
clinical scenario are discussed.
