Malposition of a long central venous catheter in the right inferior thyroid vein--a case report.

This case report hopes to bring to attention the possibility of malposition and ligation of a long central venous catheter in a central venous tributary in the course of major neck surgery. A 49-year-old gentleman underwent total laryngectomy and right radical neck dissection for laryngeal carcinoma. A long central venous catheter was inserted via the right basilic vein. This was subsequently found to have malpositioned into the right inferior thyroid vein and ligated. It required an exploration of the neck wound to remove the ligated catheter.