Pulmonary Artery Catheter‐Associated Thrombosis

Transesophageal echocardiography has become increasingly important in the assessment of critically ill patients. We report a 39-year-old patient who was incidentally noted to have a large right intraatrial thrombus associated with an indwelling pulmonary artery catheter identified by transesophageal echocardiography. This led to eventual catheter removal by open venotomy. Careful examination of intravascular devices during transesophageal echocardiography may lead to early diagnosis of catheter-associated thrombosis and thus alter management appropriately.