Totally implantable venous access devices (TIVADs) are typically implanted in the right anterior chest wall for chemotherapy administration. However, in patients with carcinoma of the right breast, this placement can interfere with surgical procedures. Accessing the left internal jugular vein (IJV) or subclavian vein for contralateral port placement may increase complication risks. We describe a novel “cross sternal” technique for TIVAD placement, utilizing the right IJV for venous access while positioning the port on the left chest wall. This method involves ultrasound-guided puncture of the right IJV, creation of a subcutaneous tunnel across the sternum, and placement of the port in the left infraclavicular region. This technique was successfully performed in a patient without immediate complications such as pneumothorax or arterial injury. Catheter function remained optimal, with no instances of malposition. The “cross sternal” technique offers a safe and replicable method for TIVAD placement in right breast carcinoma patients, potentially reducing complications associated with left-sided venous access and improving overall patient outcomes.