{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:53:53Z","timestamp":1740174833669,"version":"3.37.3"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Central venous catheter (CVC) is often used in the perioperative management of esophageal cancer. The position of the CVC tip has been reported to shift with body positioning and, although infrequent, may traverse into the azygos vein arch. Herein, we describe a case where a migrated CVC tip in the azygous vein arch was identified during esophageal cancer surgery, preventing CVC dissection concurrent with azygous vein arch resection.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 65-year-old man was diagnosed with advanced esophageal cancer and was referred to our department for surgery after undergoing neoadjuvant chemotherapy. He underwent robot-assisted subtotal esophagectomy, followed by gastric conduit reconstruction via the posterior sternal route. Thoracic manipulation was performed with the patient in the prone position. During the surgery, a foreign body was found in the azygos vein arch, indicating that a central venous catheter had inadvertently entered the azygos vein arch. The catheter was retracted by 5\u00a0cm, and after confirming that no catheter remained in the azygos arch, the azygos vein arch was separated using an autosuture device.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Central venous catheter migration can occur in a various vessels. During prone esophageal cancer surgery, elevating the right upper extremity may alter the catheter tip\u2019s position from its the preoperative position. CVC amputation should be observed because the azygos vein arch is often amputated to facilitate upper mediastinal dissection during esophageal cancer surgery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-02055-w","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T04:10:26Z","timestamp":1731298226000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of intraoperative detection of a central venous catheter in azygos vein arch during esophageal cancer surgery"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4573-2044","authenticated-orcid":false,"given":"Katsuhiko","family":"Murakawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Ono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiyuki","family":"Yamamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"2055_CR1","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1016\/S1051-0443(07)61308-6","volume":"11","author":"AR Forauer","year":"2000","unstructured":"Forauer AR, Alonzo M. Change in peripherally inserted central catheter tip position with abduction and adduction of the upper extremity. J Vasc Interv Radiol. 2000;11:1315\u20138.","journal-title":"J Vasc Interv Radiol"},{"key":"2055_CR2","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1007\/s10388-024-01054-y","volume":"21","author":"ES Japan","year":"2024","unstructured":"Japan ES. Japanese classification of esophageal cancer, 12th edition: part I. Esophagus. 2024;21:179\u2013215.","journal-title":"Esophagus"},{"key":"2055_CR3","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1097\/00005382-199701000-00010","volume":"12","author":"AA Bankier","year":"1997","unstructured":"Bankier AA, Mallek R, Wiesmayr MN, et al. Azygos arch cannulation by central venous catheters: radiographic detection of malposition and subsequent complications. J Thorac Imaging. 1997;12:64\u20139.","journal-title":"J Thorac Imaging"},{"key":"2055_CR4","doi-asserted-by":"publisher","first-page":"131","DOI":"10.4103\/1658-354X.125975","volume":"8","author":"B Prabaharan","year":"2014","unstructured":"Prabaharan B, Thomas S. Spontaneous migration of central venous catheter tip following extubation. Saudi J Anaesth. 2014;8:131\u20133.","journal-title":"Saudi J Anaesth"},{"key":"2055_CR5","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-221184","author":"G Talari","year":"2018","unstructured":"Talari G, Talari P, Parasramka S, et al. Recurrent migration of peripherally inserted central catheter into the azygos vein. BMC Case Rep. 2018. https:\/\/doi.org\/10.1136\/bcr-2017-221184.","journal-title":"BMC Case Rep"},{"key":"2055_CR6","doi-asserted-by":"publisher","first-page":"537","DOI":"10.5301\/jva.5000432","volume":"16","author":"H Zhang","year":"2015","unstructured":"Zhang H, Jiang B, Zhou H, et al. Spontaneous migration of a peripherally inserted central catheter into the azygos vein in esophageal cancer patients during surgery. J Vasc Access. 2015;16:537\u20139.","journal-title":"J Vasc Access"},{"key":"2055_CR7","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1016\/j.jamcollsurg.2006.03.016","volume":"203","author":"C Palanivelu","year":"2006","unstructured":"Palanivelu C, Prakash A, Senthilkumar R, et al. Minimally invasive esophagectomy: thoracoscopic mobilization of the esophagus and mediastinal lymphadenectomy in prone position-experience of 130 patients. J Am Coll Surg. 2006;203:7\u201316.","journal-title":"J Am Coll Surg"},{"key":"2055_CR8","doi-asserted-by":"publisher","first-page":"405","DOI":"10.4103\/jmas.JMAS_267_20","volume":"17","author":"M Kar","year":"2021","unstructured":"Kar M, Imaduddin M, Muduly DK, et al. Minimally invasive esophagectomy: preservation of arch of azygos vein in prone position. J Min Access Surg. 2021;17:405\u20137.","journal-title":"J Min Access Surg"},{"key":"2055_CR9","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1016\/j.athoracsur.2015.03.122","volume":"100","author":"H Fujiwara","year":"2015","unstructured":"Fujiwara H, Shiozaki A, Konishi H, et al. Single-port mediastinoscopic lymphadenectomy along the left recurrent laryngeal nerve. Ann Thorac Surg. 2015;100:1115\u20137.","journal-title":"Ann Thorac Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02055-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-02055-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02055-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T17:04:34Z","timestamp":1731344674000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-02055-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,11]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2055"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-02055-w","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2024,11,11]]},"assertion":[{"value":"8 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient provided permission for the publication of this case report. Patient anonymity was maintained.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"257"}}