Tunneled Port-a-Cath tip with azygos vein termination

Case contributed by Jayanth Keshavamurthy


Breast cancer.

Patient Data

Age: 55 years
Gender: Female

Tunneled left internal jugular Port-a-Cath demonstrated with the catheter tip at the level of the SVC, 0.5 cm above the level of the carina.

Heart is borderline-enlarged. Central mediastinal structures are otherwise unremarkable.

Minimal right perihilar and left lingular subsegmental atelectasis demonstrated without acute cardiopulmonary disease, pneumothorax or pleural fluid.

Impression: uncomplicated tunneled catheter placement.

Tunneled left internal jugular vein chemotherapy Port-a-Cath tip terminates within the azygos vein.

Recommend repositioning.

Case Discussion

Know the risks of placing the Port-a-cath in the azygos vein, including azygos vein thrombosis, perforation, etc.

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