Successful percutaneous removal of a huge vegetation in the right atrium of an extremely low-birth-weight infant.

The patient, the first of twins, weighed 714 g at birth. On day 14, ultrasound revealed a large methicillin-resistant Staphylococcus aureus-induced atrial vegetation; the tumour grew to 6 mm by day 19. Percutaneous removal was selected due to the risk of pulmonary embolism. We used a three-loop EN Snare system. The procedure was safe and successful.