Fatal cardiac tamponade resulting from a central venous catheter: a case for open-chest cardiac resuscitation.
A computer Medline search has failed to reveal any cases of cardiac tamponade secondary to central venous catheter placement in spinal deformity patients. It has become apparent that this complication should be thought of more frequently, however. The anatomic variation of spinal deformity patients may contribute to this problem. Spine deformity patients have abnormal chest-wall compliance secondary to their deformity, and abnormal position of their intrathoracic organs. This may alter the effectiveness of closed-chest cardiac resuscitation in this patient population.
Montesano
P X
PX
Department of Orthopaedics, University of California, Davis, Medical Center, Sacramento 95817.
Asher
M A
MA
Schlehr
F J
FJ
D001858:Bone Nails; D002305:Cardiac Tamponade / Q000209:etiology* / Q000401:mortality; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D008297:Male; D011184:Postoperative Period; D013902:Radiography, Thoracic; D013123:Spinal Fusion; D013131:Spine / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery