Fluctuating Cutaneous Varices
Tzu-Ying Chen, MD; Chung-Lieh Hung, PhD; Cheng-Jui Lin, PhD; Hung-I Yeh, PhD; Yen-Yu Liu, MD
Introduction
A 72-year-old man presented with altered consciousness. His past medical history included left renal cell carcinoma status post nephrectomy 3 years earlier, end-stage renal disease with regular hemodialysis, and central venous obstruction with stenting at the right subclavian vein and superior vena cava 8 months earlier. He was intubated and placed on a mechanical ventilator and inotropes for managing respiratory failure and shock. After numerous tests, demonstrated in the following video series, it was evident that a right atrial mass was hindering blood flow into the right ventricle and causing blood to flow back into the peripheral venous system.
