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Case Reports
. 2009:2009:693583.
doi: 10.1155/2009/693583. Epub 2009 Jun 23.

Mechanical Complication with Broviac Repair Kit in a 4-Year-Old Boy with MEN 2a

Sergio B Sesia  1 , Frank-Martin Haecker, Johannes Mayr
Affiliations
Case Reports

Mechanical Complication with Broviac Repair Kit in a 4-Year-Old Boy with MEN 2a

Sergio B Sesia et al. Int J Pediatr. 2009.

Abstract

Background. Mechanical complications in the use of indwelling central venous catheters (CVCs) such as the Broviac catheter (BC) include kinking, occlusion, dislocation or leaking. We report on a mechanical complication after using a repair kit for the BC. Method. A 4-year old boy, suffering from multiple endocrine neoplasia type 2a (MEN 2a), intestinal aganglionosis (Hirschsprung's disease), and short bowel syndrome, required a BC for home parenteral nutrition. Result. Due to recurrent leakage of the BC, 5 subsequent repairs were necessary within seven months. During one repair a metallic tube belonging to the repair kit was found to have migrated proximally to the skin entrance level within the BC and requiring surgical removal. Conclusion. To our knowledge, this is the first report focusing on such a serious complication using a BC and its repair kit. The proximal migration of this metallic tube constitutes a distinct theoretical risk of endothoracic foreign body embolization.

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Figures

Figure 1
Figure 1
Attachment of external segment.
Figure 2
Figure 2
Application of adhesive onto the outside of the stent and cover of both ends of catheters by a splice sleeve, fixed with additional adhesive.
Figure 3
Figure 3
Photo of removed metallic tube.
Figure 4
Figure 4
X-ray with correct position of the CVC, repaired area indicated by arrow.
See this image and copyright information in PMC

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