Thrombosis Journal · 6 authors, 4 centres
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This case series describes two patients with peripherally inserted central catheters (PICCs) who developed right heart thrombus (RHT) in transit, a rare and potentially fatal complication. The cases highlight the importance of a high clinical suspicion and imaging in at-risk patients, and the need for individualized management.
This report presents two cases of RHT in transit complicating PICC-associated deep vein thrombosis. Case 1 involved a 77-year-old male with tuberculosis and a post-surgical abscess, who developed a thrombus extending from the PICC into the right atrium. He was managed with systemic anticoagulation. The findings underscore that while PICCs are generally safe, clinicians must maintain a low threshold for diagnostic imaging in high-risk patients.
