Pulmonary Embolism Due to an Indwelling Central Venous Catheter

Hemodialysis-Catheter Related Septic Pulmonary Emboli in the Absence of Endocarditis or Right Atrial Thrombus

“…Alternatively, there could be associated tricuspid endocarditis. Dislodgement of the thrombus or vegetation to the pulmonary artery or its branches can lead to an infarction or a metastatic abscess [3,[14][15][16]. Our patient developed multiple SPE in the absence of overt clinical or radiographic signs of catheter-associated thrombosis, catheter infection or malfunction or endocarditis.…”

“…The clinical features and chest radiography could be nonspecific, as in our patient, thus delaying the diagnosis. High index of suspicion is important since SPE due to central venous catheters is probably under diagnosed [15] and early identification may improve its prognosis. Equally important is the identification of septic focus since the resolution of the problem will depend on the elimination of the source.…”

Treatment of Pulmonary Embolism by Subcutaneous Low-Molecular- Weight Heparin in a Hemodialysis Patient

“…Although pulmonary embolism complicating central venous catheter has been reported in other situations [1][2][3], pulmonary embolism relating to the use of central venous catheter for hemodialysis is rare [4][5][6]. Unfractionated heparin (UFH) given intravenously followed by oral anti-coagulant therapy is generally accepted as the treatment of choice for most patients with minor and submassive pulmonary embolism [7][8][9][10][11][12].…”