Iranian Journal of Pathology

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

Document Type : Case Reports

Authors

Seyed Mohsen Mirhosseini 1
Hossein Yarmohammadi 2
Arash Anisian 3
Fatemeh Ravand 4
Mahdi Rezaei 1
Masood Soltanipur 5

1 Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Department of Mycobacteriology and Pulmonary Research, Pasteur Institute of Iran, Tehran, Iran

3 General Practitioner (GP), Ebne-sina Medical Center (EMC), Tehran, Iran

4 Medical Students Research Committee, Shahed University, Tehran, Iran

5 Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. General Practitioner (GP), Ebne-sina Medical Center (EMC), Tehran, Iran.

https://doi.org/10.30699/ijp.2025.2068882.3506
Abstract
Background & Objective: 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.
Case Presentation: 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.
Conclusion: A suitable Permcath and its accurate insertion are recommended to provide prompt AKI treatment and prevent further complications, such as endocarditis and thrombosis.

Keywords

Permcath
Endocarditis
Hemodialysis
COVID-19
Acute renal failure

Subjects

Copyright © 2026. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The license also allows users to adapt, remix, transform, and build upon the material for any purpose, including commercial use.

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Iranian Journal of Pathology
Volume 21, Issue 1
Winter 2026
Pages 136-142

  • Receive Date 14 August 2025
  • Revise Date 06 September 2025
  • Accept Date 06 October 2025

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