UNASSIGNED: We present the case report of a 19-year-old @entity1 with @entity740 due to chronic @entity631 , in hemodialysis (HD) by central catheter, with the incidental finding of a mass of 28x16 mm in @entity13678 ( @entity13678 ). The diagnosis of @entity715 , @entity884 or @entity3291 were considered. Given the context of immunosuppression and difficult access vascular therapeutic practice has proved complex. Although Doppler echocardiography suggested @entity715 in @entity13678 , nuclear magnetic resonance imaging (MRI) indicated for the diagnosis of @entity3291 in @entity13678 . In both conditions, the proposed surgical approach was limited by intense immunosuppression history and the risk of @entity166 . Throughout the treatment, the general state of K.M.F. remained satisfactory and revealed no signs or symptoms related to @entity409 . The absence of fever and negative blood cultures excluded @entity884 . Prior echocardiogram report without masses in the @entity13678 decreased the chance of @entity299 . The therapeutic response to anticoagulation confirmed the diagnosis of @entity715 . After 180 days of anticoagulation, there was significant reduction in mass. The @entity1 developed asymptomatic. The diagnosis of mass in @entity13678 can be a challenge and only the evolution of the case was able to guide the appropriate conduit. While MRI has high sensitivity and specificity for the diagnosis of @entity299 , the interpretation of images can be subjective. Controversial point is the removal of the catheter in such cases, which is subject discussed throughout the report.

XXXX in chronic hemodialysis with right atrial mass: @entity715 , fungal endocarditis or atrial myxoma?

@entity1 :: ('9606', 'Species') :: ['patient'] @entity13678 :: ('MESH:D064752', 'Disease') :: ['RA', 'right atrium'] @entity409 :: ('MESH:D008107', 'Disease') :: ['atrial dysfunction'] @entity3291 :: ('MESH:D009232', 'Disease') :: ['myxoma'] @entity740 :: ('MESH:D051436', 'Disease') :: ['chronic kidney disease'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac myxoma'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombus', 'thrombosis'] @entity631 :: ('MESH:D005921', 'Disease') :: ['glomerulonephritis'] @entity166 :: ('MESH:D003141', 'Disease') :: ['infectious complications'] @entity884 :: ('MESH:D004696', 'Disease') :: ['infective endocarditis']
@entity1 :: (9606,Species) :: ['Patient']
