Totally thoracoscopic beating-heart resection of a catheter-related right atrial thrombus: a case report - Takeaways - 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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  • 1

    Totally implantable venous access ports (TIVAPs) are used for chemotherapy but can lead to catheter-related right atrial thrombus (CRAT).

  • 2

    A breast cancer patient developed a right atrial thrombus after TIVAP use, which was not resolved by anticoagulation therapy.

  • 3

    Multimodality imaging was crucial for identifying the thrombus and planning the surgical intervention.

  • 4

    Totally thoracoscopic beating-heart thrombectomy was performed successfully to remove the thrombus.

  • 5

    The case highlights the safety and feasibility of thoracoscopic surgery for CRAT with favorable clinical outcomes.

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