Tunneled Hemodialysis Catheter-associated Right Atrial Thrombus Presenting with Septic Pulmonary Embolism.

Tunneled hemodialysis (HD) catheter-associated right atrial thrombus (CRAT) is an uncommon complication with significant morbidity. We report the case of a patient undergoing HD through tunneled venous catheter who presented with catheter dysfunction and sepsis and was diagnosed to have CRAT with septic embolism. CRAT formation has a significant association with catheter-related infection. The need for early diagnosis and various treatment options for this entity are highlighted.