Well it happened to me...twice! I have been debating with myself about posting this because I know how extremely rare it is, especially a double whammy of it, so I thought first I'd ask if anyone heard of it.
I have tiny veins and even though I only get an average of one iv treatment per year they convinced me to get a port, I was 23 at the time.
I was under local anaesthetic, the head of the port was in my arm and tunnelled up into my subclavian on the left side. As I was being wheeled out of theatre I asked the nurse about this pressure I was feeling at the subclavian site. It didn't go away and my sats started to get lower. They x-rayed me and I will never forget the look on my surgeon's face as he held up the xray film to the light. And I don't think it registered with me until later.
Anyway they put me on O2 for a few hours, but my lung deflated more. So then it was time for a chest drain. That was left in for three very worrying days after which I was fine and sent home.
As luck would have it I tried to use the port for abx a few weeks later and it didn't work very well. I got a big swelling at the subclavian site. Then when I got it flushed it was blocked. It took 6 months of chats for the doc to decide "yup its not working, take it out". As the surgeon (same guy) was taking it out he decided to try to re-tunnel it and make it work. Again I was under local so was well able to tell him he was hurting me. I was also very aware of the similar feeling at the site. It had happened again!
Xrays, sats dropping, me coughing, chest drain. Awful and very scary.
I recovered well and my fears of damage were allayed. These pneumothroces were induced, not spontaneous so they weren't an indicator of my lungs being in bad shape. It turns out my lungs are very superficial (high up) and the wall of my chest sits verrrry close to the skin so one small nick and the vacuum of my chest cavity gets compromised- that's what causes the lung to go down.
You may think I'm crazy but somehow they convinced me to get another one put in!! This one was in the right arm and the surgeon- same guy -who i actually had quite a crush on...is that a bit masochistic?! <img src="i/expressions/face-icon-small-smile.gif" border="0"> He tunnelled it into the jugular, which is higher up in the neck, hence less risk of pneumothorax. THANK GOD this one went without a hitch. They sedated me for it. I felt groggy and sore when I woke but not like previous, although I kept imagining I felt the same symptoms!
So guess what...that port wouldn't work either! Turns out my veins do not like these intruders and they constrict, blocking the port! So they left me with it in for about a year before removing it.
So here I am, no ports, a few scars but very healthy and verrry thankful for it.
Don't know if many people will read this but that's my port story. I wouldn't wish it on anyone. But I think I'm like the only person ever to have such a bad time of them so please don't let it worry you if you're getting one in.
Good luck people x