Port-a-Cath placement in azygos vein

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

COVID suspect, history of cancer

Patient Data

Age: 50 years
Gender: Male

Port-a-Cath tip terminates within the azygos vein.

Case Discussion

Cannulation of the azygos vein is more likely to happen from a left-sided approach, but is uncommon (1.2%) with central venous catheter insertions.

Complications of port-a-cath placement in the azygos vein include azygos vein thrombosis and perforation. A fistula between a catheter placed in the azygos vein and the airways is extremely rare.

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