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Abnormal Port-A-Cath™ location
Ubicación anómala de Port-A-Cath®
X. Carré Rubio
, A. Mira Puerto, V. Moreno Rodriguez, P. Sala Francino
Corresponding author
Servicio de Anestesiología y Reanimación, Hospital Universitario Sant Joan de Reus, Reus, Tarragona, Spain
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Carré Rubio, A. Mira Puerto, V. Moreno Rodriguez, P. Sala Francino" "autores" => array:4 [ 0 => array:4 [ "nombre" => "X." "apellidos" => "Carré Rubio" "email" => array:1 [ 0 => "xeniacr20@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Mira Puerto" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Moreno Rodriguez" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Sala Francino" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital Universitario Sant Joan de Reus, Reus, Tarragona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Ubicación anómala de Port-A-Cath®" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1725 "Ancho" => 750 "Tamanyo" => 144028 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT scan: Port-A-Cath® in the left pericardial space together with discrete hemomediastinum and hemopericardium. Moderate right pleural effusion with right lower lobe collapse. Arrow: tip of the Port-A-Cath® in the pericardial space. A: hemomediastinum. B: pneumomediastinum. C: hemopericardium.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 48-year-old man required parenteral nutrition due to short bowel syndrome secondary to intestinal resection for intestinal lymphoma requiring placement of a Port-A-Cath®. A preliminary attempt was made to cannulate the right subclavian vein, which was unsuccessful, so the catheter (Port-A-Cath® 0.9 × 19 mm) was placed in left subclavian vein, without difficulties. On the fourth day, the patient presented low-grade fever, dyspnoea, and chest pain on infusion of parenteral nutrition, together with hypotension, and elevated acute-phase reactants (leucocytosis and CRP 37 mg/l) with normal coagulation. Chest CT, which was performed without contrast due to renal failure, showed misplacement of the Port-A-Cath®, with the distal end visualized through the anterior mediastinal adipose layer reaching into the pericardial space, causing hemomediastinum and hemopericardium (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Carré Rubio X, Mira Puerto A, Moreno Rodriguez V, Sala Francino P. Ubicación anómala de Port-A-Cath®. 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