The use of the internal thoracic vein for percutaneous central venous access in an infant.

Central venous access can be challenging in children with thrombosed central veins, particularly those who are dependent on parenteral nutrition. The present report describes a 2-year-old child with short bowel syndrome and chronically thrombosed jugular, subclavian, and femoral veins in whom a tunneled central venous catheter was successfully placed percutaneously via the internal thoracic vein.