# Right Atrium Large Masses Due to Endocarditis Following Permcath Insertion After Covid-19-Induced Renal Failure

## TL;DR

A man developed heart infection and large masses in his heart after a dialysis tube was inserted following kidney failure from COVID-19.

## Contribution

This case highlights endocarditis and atrial masses as rare complications of Permcath insertion after COVID-19-induced renal failure.

## Key findings

- Endocarditis and large right atrial masses occurred following Permcath insertion for hemodialysis after COVID-19-induced renal failure.
- Surgical removal of the masses and Permcath was required to resolve the complications.
- Proper Permcath selection and insertion can prevent such complications in patients with acute kidney injury.

## Abstract

COVID-19 infection is known to affect the kidneys, potentially resulting in Acute Kidney Injury (AKI). In some patients, however, renal failure may necessitate hemodialysis following a COVID-19 infection. Pneumothorax, hemothorax, cardiac arrhythmias, and endocarditis are some complications associated with Permcath insertion, a type of vascular access used in hemodialysis.

In this report, we present a 29-year-old man who suffered from endocarditis following hemodialysis treatments through a Permcath because of acute renal failure following COVID-19. Removing the large masses (3×3 cm) inside the right atrium (RA) and taking out the Permcath was completed surgically.

A suitable Permcath and its accurate insertion are recommended to provide prompt AKI treatment and prevent further complications, such as endocarditis and thrombosis.