title: [Case of Central Venous Catheter Laceration of the Pectoralis Minor Muscle].
abstract: A 50's underwent gastrectomy for gastric cancer 4 years before. He had received chemotherapy for para-aortic lymph node metastases. A central venous catheter with a subcutaneous port was implanted via the right subclavian vein, under ultrasonographic guidance, 1 year 3 months earlier. The patient complained of swelling in his right chest during intravenous injection of ramucirumab and paclitaxel via the port. A chest radiograph revealed that a catheter fracture. A CT scan showed that the fractured catheter had lacerated the pectoralis minor muscle and the tip was in the right inferior pulmonary artery. The catheter fragment was removed using a pigtail catheter and a snare catheter via a percutaneous transfemoral approach, without any complication. The catheter was cut at 15.5 cm from the tip. This fracture was thought to be caused by a kink in the pectoralis muscle.
authors.affiliation: Dept. of Gastroenterological Surgery,Higashiosaka City General Hospital.
authors.forename: Shunji
authors.initials: S
authors.lastname: Endo
authors.forename: Kinya
authors.initials: K
authors.lastname: Furuichi
authors.forename: Kengo
authors.initials: K
authors.lastname: Morimoto
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kotsuma
authors.forename: Terumasa
authors.initials: T
authors.lastname: Yamada
authors.forename: Masakazu
authors.initials: M
authors.lastname: Ikenaga
authors.forename: Shinichi
authors.initials: S
authors.lastname: Adachi
authors.forename: Katsuya
authors.initials: K
authors.lastname: Ohta
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Nakashima
authors.forename: Masami
authors.initials: M
authors.lastname: Ueda
authors.forename: Yujiro
authors.initials: Y
authors.lastname: Tsuda
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Takayama
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Itakura
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Nishikawa
authors.forename: Junichi
authors.initials: J
authors.lastname: Nishijima
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects; D062905:Central Venous Catheters / Q000009:adverse effects*; D005743:Gastrectomy; D006801:Humans; D022125:Lacerations / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000000981:diagnostic imaging*; D013274:Stomach Neoplasms / Q000188:drug therapy* / Q000601:surgery; D014057:Tomography, X-Ray Computed