Case Report | Open Access | 10.31586/Surgery.0304.01

Spontaneous Migration of Central Venous Catheter to Anterior Mediastinum

  • Chou-Ming Yeh1,2 and Chia-Man Chou3,4,*
    Division of Thoracic Surgery, Taichung Hospital, Ministry of Health and Welfare, Taiwan
    Department of Healthcare, Central Taiwan University of Science and Technology, Taichung, Taiwan
    Department of Surgery, Taichung Veterans General Hospital, Taiwan
    College of Medicine, National Yang-Ming University, Taipei, Taiwan


Central venous devices are routinely used in delivering chemotherapy and total parenteral nutrition. Spontaneous migration of central venous catheters is a very rare complication, but the etiology of this problem is not clear. We report here a case of migration of a port catheter to the anterior mediastinum in a patient with stage IVC nasopharyngeal cancer during chemotherapy. The patient presented with pulmonary manifestations in form of shortness of breath and chest tightness caused by left massive pleural effusion. The pleural effusion was resolved by thoracocentesis and the migrated catheter was retrieved surgically.


Figure 2 of 3


MC Lin, TK Chang, YC Fu, SL Jan. A magic port-A-cath. JACC Cardiovasc Interv 2013;6:e17-e18
RP Doley, P Brar, S Chaudhary, R Bedi, AC Swami, JD Wig. Port catheter fracture and migration in internal jugular vein. Am J Case Rep2012; 13: 14-16.
WC Fan, CH Wu, MJ Tsai, YM Tsai, HL Chang, JY Hung, PH Chen, CJ Yang. Risk factors for venous port migration in a single institute in Taiwan. World J Surg Oncol 2014;12:15.
M Shah, S Patni, R Bagarahatta. Spontaneous chemoport fracture and cardiac migration. Indian J Surg Oncol 2014;5:325-326. doi:10.1007/s13193-014-0353-0.
BL Houston, M Yan. Spontaneous migration of an implanted central venous access device into the ipsilateral jugular vein. CMAJ2016;188:752.
KS Ahn, K Yoo, IH Cha, TS Seo. Spontaneously migrated tip of animplantable port catheter into theaxillary vein in a patient with severecough and the subsequent intervention to reposition It. Korean J Radiol 2008;9(Suppl):81-84. doi:10.3348/kjr.2008.9.s.s81
M Shariat, M Zahiah, PK Chan. Migration of the tip of a central venouscatheter. Iran J Radiol 2008;5:239-243.
CJ Thomas, CS Butler. Delayed pneumothorax and hydrothorax withcentral venous catheter migration. Anaesthesia 1999;54:987-990.
SN Nagel, UK Teichgraber, S Kausche, A Lehmann. Satisfaction and qualityof life: a survey-based assessment in patients with a totally implantablevenous port system. Eur J Cancer Care (Engl) 2012;21:197-204.
CY Wu, JY Fu, PH Feng, YH Liu, CF Wu, TC Kao, SY Yu, PJ Ko, HC Hsieh. Risk factors andpossible mechanisms of intravenous port catheter migration. Eur J VascEndovasc Surg 2012;44:82-87.
HJ Kock, M Pietsch, U Krause, H Wilke, FW Eigler. Implantable vascularaccess systems: experience in 1,500 patients with totally implantedcentral venous port systems. World J Surg 1998;22:12-16.
SL Yeste, JM Galbis Caravajal, CA Fuster Diana, EE Moledo. Protocol for theimplantation of a venous access device (Port-A-Cath system): thecomplications and solutions found in 560 cases. Clin Transl Oncol 2006;8:735-741.


Download data is not yet available.
  • Views 29
  • Downloads 51
  • Citations 0
  • Shares 0
November 19, 2018
How to Cite
YEH, Chou-Ming; CHOU, Chia-Man. Spontaneous Migration of Central Venous Catheter to Anterior Mediastinum. Trends Journal of Sciences Research, [S.l.], v. 3, n. 4, p. 147-150, nov. 2018. ISSN 2377-8083. Available at: <>. Date accessed: 21 apr. 2019.
Medical Case Reports