“Our case describes a 67-year-old female with history of signet cell adenocarcinoma of colon, who had a port-a-cath placed for chemotherapy about 16 months prior. Patient presented with problems with regards to her mediport including difficulties in flushing during the administration of chemotherapeutic agents. Chest X-ray was notable for broken/dislodged mediport catheter in the right heart. The patient was placed on cardiac monitoring and no arrhythmias were identified. The patient denied chest pain or shortness of breath. On evaluation, there was a lack of blood return from portacatheter despite recent attempts at declotting using tissue plasminogen activator (tPA). Contrast injection of the Central venous access device (CVAD) was done including fluoroscopy/imaging.”Reference:
Yarrarapu SN, Panchal P. Broken/dislodged mediport catheter in the right heart. Pan Afr Med J. 2023 Feb 9;44:80. doi: 10.11604/pamj.2023.44.80.39196. PMID: 37159624; PMCID: PMC10162886.