EURORAD ESR

Case 11945

Central venous catheter fracture with fragment embolism

Author(s)
Maria João Magalhães, Pedro Lopes, Joana Abreu, Nuno Costa, Maria José Sousa, Belarmino Gonçalves, Leonor Malheiro, Margarida Gouvêa

IPO; Rua Dr. António Bernardino de Almeida 4200-072 Porto, Portugal; Email:mariapinheiromagalhaes@hotmail.com
 
Patient
male, 51 year(s)
 
 
  • Figure 1
    Coronal CT
     

    Thoracic CT shows a fractured CVC in the right subclavian vein, whose tip is flagged with an arrow. The distal fragment is located in the descending branch of left pulmonary artery (b and c).

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    The distal fragment is located in the descending branch of left pulmonary artery.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    The distal fragment is located in the descending branch of left pulmonary artery.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 2
    Axial CT
     

    Axial CT also shows the migrated fragment in the descending branch of the left pulmonary artery.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Axial CT (bone window).

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Axial CT (bone window).

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 3
    Chest radiograph

    Chest radiograph after CVC removal shows the migrated fragment (arrow).

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Foreign bodies;
     
     
Thoracic CT shows a fractured CVC in the right subclavian vein, whose tip is flagged with an arrow. The distal fragment is located in the descending branch of left pulmonary artery (b and c).
 
The distal fragment is located in the descending branch of left pulmonary artery.
 
The distal fragment is located in the descending branch of left pulmonary artery.
 
Axial CT also shows the migrated fragment in the descending branch of the left pulmonary artery.
 
Axial CT (bone window).
 
Axial CT (bone window).
 
Chest radiograph after CVC removal shows the migrated fragment (arrow).
 
 
 
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