Pericardial tamponade secondary to central venous catheterization and hyperalimentation in a very low birthweight infant.
A very low birthweight infant developed pericardial tamponade secondary to leakage of fat emulsion through a catheter lodged in the right atrial appendage. At autopsy examination a thrombus was lodged in the appendage, which presumably resulted in immobilization of the catheter and leakage of the fluid through an attenuated and necrotic myocardial wall.
Rogers
B B
BB
Department of Pathology, Women and Infants' Hospital, Providence, Rhode Island.
Berns
S D
SD
Maynard
E C
EC
Hansen
T W
TW
D002305:Cardiac Tamponade / Q000209:etiology* / Q000473:pathology; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004868:Equipment Failure; D005217:Fat Emulsions, Intravenous / Q000009:adverse effects; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D008297:Male; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D010496:Pericardium / Q000473:pathology
D005217:Fat Emulsions, Intravenous