Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Feb 1992
Case Reports[The echocardiographic demonstration of a right atrial thrombus and its embolization into the lung].
A 43-year-old man was hospitalized because of extensive bilateral pulmonary tuberculosis. After several weeks of tuberculostatic treatment--at first applied orally, then because of nausea and vomiting parenterally via a central venous catheter--he acutely developed nocturnal dyspnoea and symptoms of shock requiring artificial ventilation. ⋯ Despite anticoagulation and immediate operation the patient died 2 days later of protracted shock. The thrombus was found to have been formed in the superior vena cava after placement of the central venous catheter.