Abstract
Long placement of a central venous port may cause infection and thrombus in the superior vena cava (SVC). We report a case in which the central venous port and thrombus were removed with SVC clamping. Right hemi-colectomy and chemotherapy with a central venous port inserted from the right subclavian vein were performed for colon cancer in a 76-year-old man. After that, CT revealed SVC thrombus. Catheter infection also occurred. Since conservative therapy was not effective, the central venous catheter and thrombus were surgically removed with simple SVC clamping. His postoperative course was good. Though short-time SVC clamping may not be problematic, it is important to take countermeasures against hemodynamic instability and brain edema.
