Peripherally inserted central venous catheter fracture and embolization tothe lung

We report an adolescent patient with a peripherally inserted central venous catheter fracture and subsequent migration of the catheter fragment throug h the heart and into the lower lobe of the right lung. Physical findings we re unremarkable for indications of this pulmonary embolization. With the in creasing use of such devices for prolonged venous access, the practicing pe diatric emergency physician should be aware of this potential complication.