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Fig. 4 | Insights into Imaging

Fig. 4

From: Complications of central venous port systems: a pictorial review

Fig. 4

Malpositioning in the heart. a PA chest radiography shows a very long, looping catheter, which had not been shortened by the surgeon during the procedure. The tip is projecting onto the right heart (arrow). b Lateral chest radiograph shows typical anterior bending (arrows) due to position in the right ventricle. c In this example, the catheter tip is not clearly seen, but seems to be placed too deep (arrows). d Lateral projection shows a straight course, with the tip in the inferior vena cava (arrow). e Five weeks later, a follow-up film now shows posterior curving of the catheter. f Contrast-enhanced MDCT (MIP reconstruction) confirms displacement of the catheter into the coronary sinus

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