VATS ASSISTED REPOSITIONING OF A CENTRAL VENOUS ACCESS DEVICE CATHETER CAUSING INADVERTENT SVC PUNCTURE: A RARE CASE REPORT AND LITERATURE REVIEW.

Central Venous Access Device (CVAD) is commonly used in cancer patients for administration of chemotherapy. Malpositioning of venous access port catheter in to the contra lateral pleural cavity is a rare possibility, but can have potentially catastrophic complications. The treatment of choice is immediate removal or repositioning of the catheter by either surgery or endovascular interventions. We herein report an interesting case of a 53 year old female, a case of Ca Right breast that had malpositioning of venous access port catheter through SVC (Superior Vena Cava) into contra lateral pleural cavity. In this article we have discussed the use of Video Assisted Thoracic Surgery (VATS) as well as review of the existing literature.