{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T13:05:01Z","timestamp":1780319101630,"version":"3.54.1"},"reference-count":28,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T00:00:00Z","timestamp":1720051200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>A vessel port, implanted into the central venous system, is used for long-term intravenous drug administration in oncology patients. Although essential for frequent chemotherapy and other treatments, ports can lead to complications such as infection and thrombosis. This article discusses a rare but serious complication: the displacement of a catheter fragment. A 67-year-old gastric cancer patient, experienced malignant recurrence with jaundice and bile duct infiltration post Roux-Y subtotal gastrectomy and D2 lymphadenectomy. After nine cycles of chemotherapy, a catheter fragment from the venous port detached and lodged in a branch of the pulmonary artery in segment VIII of the right lung. Thoracotomy was performed to remove the foreign body. Our aim is to report on the surgical treatment of a displaced detached catheter and to raise awareness about the potential rare complications associated with the use of vascular ports in patients undergoing chronic oncological treatment. Additionally, we screened the PubMed database for similar surgical treatment reports and compared the collected data. Venous port malfunction or non-specific patient symptoms may indicate rare complications, such as port component detachment, necessitating a multidisciplinary approach for prompt diagnosis and management in oncological patients.<\/jats:p>","DOI":"10.3390\/medicina60071093","type":"journal-article","created":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T03:52:58Z","timestamp":1720065178000},"page":"1093","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Vascular Port Complication Leading to Surgery of Pulmonary Artery Branch\u2014A Case Report"],"prefix":"10.3390","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2535-7949","authenticated-orcid":false,"given":"Dawid","family":"Kordykiewicz","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Soko\u0142owskiego 11, 70-891 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6080-6104","authenticated-orcid":false,"given":"Patryk","family":"Sk\u00f3rka","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Soko\u0142owskiego 11, 70-891 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maja","family":"Morozik","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Soko\u0142owskiego 11, 70-891 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5836-8498","authenticated-orcid":false,"given":"Janusz","family":"W\u00f3jcik","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Soko\u0142owskiego 11, 70-891 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0817-1018","authenticated-orcid":false,"given":"Ma\u0142gorzata Edyta","family":"Wojty\u015b","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Alfreda Soko\u0142owskiego 11, 70-891 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1186\/s13244-019-0770-2","article-title":"Complications of central venous port systems: A pictorial review","volume":"10","author":"Machat","year":"2019","journal-title":"Insights Imaging"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Rydell, H., Huge, Y., Eriksson, V., Johansson, M., Alamdari, F., Svensson, J., Aljabery, F., and Sherif, A. (2022). Central Venous Access and the Risk for Thromboembolic Events in Patients Undergoing Neoadjuvant Chemotherapy and Radical Cystectomy for Muscle-Invasive Bladder Cancer. Life, 12.","DOI":"10.3390\/life12081198"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"367","DOI":"10.3390\/curroncol28010039","article-title":"Utilization and Complications of Central Venous Access Devices in Oncology Patients","volume":"28","author":"Akhtar","year":"2021","journal-title":"Curr. Oncol."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Hoppe, A., Rupa-Matysek, J., Ma\u0142ecki, B., Dytfeld, D., Hoppe, K., and Gil, L. (2021). Risk Factors for Catheter-Related Thrombosis in Multiple Myeloma Patients Undergoing Autologous Stem Cell Transplantation. Medicina, 57.","DOI":"10.3390\/medicina57101020"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1159\/000011947","article-title":"Complications of subcutaneous infusion port in the general oncology population","volume":"56","author":"Ballarini","year":"1999","journal-title":"Oncology"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s002689900342","article-title":"Implantable vascular access systems: Experience in 1500 patients with totally implanted central venous port systems","volume":"22","author":"Kock","year":"1998","journal-title":"World J. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/j.ejso.2016.10.020","article-title":"Complication-related removal of totally implantable venous access port systems: Does the interval between placement and first use and the neutropenia-inducing potential of chemotherapy regimens influence their incidence? A four-year prospective study of 4045 patients","volume":"43","author":"Kakkos","year":"2017","journal-title":"Eur. J. Surg. Oncol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1007\/s00520-005-0011-8","article-title":"Atypical pulmonary embolism of port catheter fragments in oncology patients","volume":"14","author":"Surov","year":"2006","journal-title":"Support Care Cancer"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1002\/(SICI)1096-9098(199807)68:3<166::AID-JSO6>3.0.CO;2-3","article-title":"Spontaneous leak and transection of permanent subclavian catheters","volume":"68","author":"Koller","year":"1998","journal-title":"J. Surg. Oncol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/0002-9610(67)90381-9","article-title":"Complications of indwelling venous catheters: With particular reference to catheter embolus","volume":"114","author":"Doering","year":"1967","journal-title":"Am. J. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e691","DOI":"10.1016\/j.ejrad.2013.07.003","article-title":"Flow confirmation study for central venous port in oncologic outpatient undergoing chemotherapy: Evaluation of suspected system-related mechanical complications","volume":"82","author":"Sofue","year":"2013","journal-title":"Eur. J. Radiol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1177\/0148607109335121","article-title":"Intravascular Embolization of Venous Catheter\u2014Causes, Clinical Signs, and Management: A Systematic Review","volume":"33","author":"Surov","year":"2009","journal-title":"J. Parenter. Enter. Nutr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.thromres.2021.03.022","article-title":"Pulmonary infarction in acute pulmonary embolism","volume":"202","author":"Kaptein","year":"2021","journal-title":"Thromb. Res."},{"key":"ref_14","first-page":"129","article-title":"Identification of catheter misplacement in early port CVC dysfunction","volume":"22","author":"Mauri","year":"2018","journal-title":"Contemp. Oncol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1016\/S0022-5223(03)00399-4","article-title":"Posttraumatic and iatrogenic foreign bodies in the heart: Report of fourteen cases and review of the literature","volume":"126","author":"Dato","year":"2003","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"484","DOI":"10.4103\/ijmr.IJMR_1698_20","article-title":"Inadvertently migrated fractured chemo port in pulmonary artery: A rare complication","volume":"157","author":"Chandrashekhara","year":"2023","journal-title":"Indian J. Med. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1177\/1538574418762191","article-title":"Port-A-Cath Catheter Embolization to Distal Pulmonary Artery Branches: Two Tailored Percutaneous Retrieval Approaches","volume":"52","author":"Francisco","year":"2018","journal-title":"Vasc. Endovasc. Surg."},{"key":"ref_18","first-page":"1029","article-title":"Percutaneous transvenous retrieval of fractured catheter in cancer patients receiving chemotherapy","volume":"26","author":"Wu","year":"2018","journal-title":"J. X-ray Sci. Technol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/j.ejrad.2007.09.034","article-title":"Percutaneous retrieval of dislodged totally implantable central venous access system in 92 cases: Experience in a single hospital","volume":"69","author":"Cheng","year":"2009","journal-title":"Eur. J. Radiol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/0720-048X(91)90124-E","article-title":"Percutaneous vascular foreign body retrieval: Experience of an 11-year period","volume":"12","author":"Dondelinger","year":"1991","journal-title":"Eur. J. Radiol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1177\/112972981001100117","article-title":"Surgical versus Percutaneous Removal of a Port-A-Catheter Tip Embolized in the Peripheral Pulmonary Artery","volume":"11","author":"Abad","year":"2010","journal-title":"J. Vasc. Access."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.athoracsur.2008.05.061","article-title":"Pulmonary Artery Pseudoaneurysm after a Vascular Access Port Catheter Implantation","volume":"87","author":"Oz","year":"2009","journal-title":"Ann. Thorac. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"541","DOI":"10.2214\/ajr.130.3.541","article-title":"Evaluation of current techniques for nonsurgical removal of intravascular foreign bodies","volume":"130","author":"Fisher","year":"1978","journal-title":"Am. J. Roentgenol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.1378\/chest.97.6.1486","article-title":"Right-sided valvular endocarditis supported by an unexpected intracardiac foreign body","volume":"97","author":"Balbi","year":"1990","journal-title":"Chest"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/00000433-199506000-00008","article-title":"Longstanding intracardiac catheter embolism: An unusual autopsy finding","volume":"16","year":"1995","journal-title":"Am. J. Forensic. Med. Pathol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1097\/00007611-199607000-00013","article-title":"Management of catheter emboli","volume":"89","author":"Roye","year":"1996","journal-title":"South. Med. J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"431","DOI":"10.5301\/jva.5000430","article-title":"Retained embolized fragment of totally implantable central venous catheter in right ventricle: It is really necessary to remove?","volume":"16","author":"Tazzioli","year":"2015","journal-title":"J. Vasc. Access."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1080\/00015458.2021.1896829","article-title":"Detachment and embolization of totally implantable central venous access devices: Diagnosis and management","volume":"122","author":"Kara","year":"2022","journal-title":"Acta Chir. Belg."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/7\/1093\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:09:56Z","timestamp":1760108996000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/7\/1093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,4]]},"references-count":28,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024,7]]}},"alternative-id":["medicina60071093"],"URL":"https:\/\/doi.org\/10.3390\/medicina60071093","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,4]]}}}