Totally thoracoscopic beating-heart resection of a catheter-related right atrial thrombus: a case report - Report - MDSpire
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Complete thoracoscopic removal of a catheter-associated thrombus in the right atrium: a case study

  • By

  • Siqi He

  • Jilu Lang

  • Chuang Mei

  • Yuanxiang Wen

  • Zhifeng Xu

  • September 7, 2026

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Complete thoracoscopic removal of a catheter-associated thrombus in the right atrium

Overview

This case study presents a breast cancer patient who developed a right atrial thrombus after chemotherapy via a TIVAP. The thrombus was removed using totally thoracoscopic beating-heart thrombectomy after anticoagulation therapy failed.

Background

Totally implantable venous access ports (TIVAPs) are widely used for chemotherapy in cancer patients, providing reliable vascular access. However, they can lead to serious complications such as catheter-related right atrial thrombus (CRAT). This case highlights the challenges associated with CRAT in the context of cancer treatment.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • The patient developed a right atrial thrombus after TIVAP placement for chemotherapy.
  • Anticoagulation therapy was ineffective in resolving the thrombus.
  • Totally thoracoscopic beating-heart thrombectomy was performed.
  • Multimodality imaging was crucial for characterizing the thrombus and planning surgery.

Clinical Implications

This case highlights the occurrence of thrombus formation in patients with TIVAPs.

Conclusion

This case illustrates the application of totally thoracoscopic surgery for the removal of a catheter-associated thrombus.

Related Resources & Content

  1. Frontiers in Cardiovascular Medicine, 2026 -- Management of Right Atrial Thrombus Associated with a PICC Line: A Case Study
  2. Minimally Invasive Technique for the Extraction of Infected Ventriculoatrial Shunts, 2020
  3. Frontiers in Cardiovascular Medicine, 2026 -- Case Report: Catheter ablation of atrial fibrillation in a patient with cor triatriatum sinistrum: the pivotal role of intracardiac echocardiography and electroanatomic mapping
  4. NCCN Guidelines Version 3.2025 -- Cancer-Associated Venous Thromboembolic Disease
  5. 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults
  6. Pediatric Cardiology — Transcatheter Closure of Congenital Right Atrial Fistula Using the Amplatzer Occluder: A Case Report
  7. NCCN Guidelines Version 3.2025
  8. 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline
  9. New 2025 American College of Radiology ACR Appro
  10. Association of Anaesthetists guidelines: safe vascular access 2025 - PMC
  11. Treatment of catheter related thrombosis: A systematic review, meta-analysis, and national survey - PMC
  12. A Systematic Review and Meta-Analysis of Prophylactic Anticoagulation for the Prevention of Catheter-Related Thrombosis in Adult Cancer Patients with Long-Term Central Venous Catheters: Current Evidence, Clinical Uncertainties and Future Directions
  13. Common and Uncommon Complications of Chest Port Implantation.
  14. Catheter-related right atrial thrombosis from malpositioned totally implantable venous access ports: Case series and preventive lessons
  15. Management of catheter-related right atrial thrombus in hemodialysis: a systematic review - PMC

Original Source(s)

Totally thoracoscopic beating-heart resection of a catheter-related right atrial thrombus: a case report

  • by Siqi He, Jilu Lang, Chuang Mei, Yuanxiang Wen, Zhifeng Xu

  • September 7, 2026

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