An unusual cause of respiratory failure in a colon cancer patient

Sereno,María; Montoro,Francisco  Javier; Casanova,Carlos; Gutiérrez‑Gutiérrez,Gerardo; Ojeda,Joaquín; Sáenz Casado,Enrique

doi:10.3892/mco.2015.608

An unusual cause of respiratory failure in a colon cancer patient

Authors:
- María Sereno
- Francisco Javier Montoro
- Carlos Casanova
- Gerardo Gutiérrez‑Gutiérrez
- Joaquín Ojeda
- Enrique Sáenz Casado
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Affiliations: Department of Medical Oncology, Infanta Sofía University Hospital, San Sebastián de los Reyes, 28702 Madrid, Spain, Department of Pulmonology, Infanta Sofía University Hospital, San Sebastián de los Reyes, 28702 Madrid, Spain, Department of Cardiology, Infanta Sofía University Hospital, San Sebastián de los Reyes, 28702 Madrid, Spain, Department of Neurology, Infanta Sofía University Hospital, San Sebastián de los Reyes, 28702 Madrid, Spain
Published online on: July 21, 2015 https://doi.org/10.3892/mco.2015.608
Pages: 1152-1154

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Abstract

Permanent central venous catheters (CVC), such as Port-a-Cath®, Hickmann® or PICC®, are widely used in oncology patients for cancer treatment. Thrombosis is a frequent complication that should be ruled out, as it is associated with potentially severe infection and hemodynamic consequences. This is the case report of a male patient who was undergoing chemotherapy for colon cancer. The patient presented with an atrial mass secondary to a CVC‑related organized thrombus located inside the atrial cavity. The mass was inducing a massive right‑to‑left intracardial shunt due to a persistent foramen ovale and signs of respiratory failure that required surgical intervention to remove the intracardial mass.

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