Massive Calcified Tricuspid Valve Endocarditis in a Patient with Dual Lumen Tunneled Venous Catheter

Transjugular Tunnelled Dialysis Catheter Tip Placement into the Inferior Vena Cava Upper Segment after Length Overestimation

“…In our case this came after 380 insertions over 3 years. The danger with it is that the tip can gravitate at or beyond the atrioventricular junction where it is likely to irritate or perforate the endocardium and atrioventricular node leading to arrhythmias, catastrophic pericardiac tamponade or calcific tricuspid stenosis, as was reported recently (12). The alternative would have been to replace the TDC with a shorter one at unnecessary cost to the patient.…”