Aortic regurgitation after chemoport catheter insertion: a c
A 45-year-old female patient suffering from carcinoma of the breast was advised for chemotherapy. Chemoport catheter was inserted from the right side of the neck at a local hospital. The patient complained of breathlessness on mild exertion along with giddiness few days after the procedure even before the start of chemotherapy.

Echocardiographic examination revealed severe aortic regurgitation (AR) with aortic valve endocarditis and was advised for aortic valve replacement. The patient was referred for further management. Transesophageal echocardiography confirmed (AR) and also showed elongated tubular structure (vegetations?) above aortic valve leaflets.

Chest X-ray revealed the course of chemoport catheter more toward the midline. Hence, computed tomography scan was performed. The passage of chemoport catheter was observed through the right internal carotid artery and ascending aorta till aortic valve.

The “arterial” catheter was removed and internal carotid artery was repaired. Subsequently, chemoport catheter was inserted through the left internal jugular vein under ultrasound guidance, and proper placement was confirmed by pressure monitoring and chest X-ray. Now, the echocardiogram revealed absolutely no AR.

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