[Mycotic thrombosis as a rare complication of Shaw's central silastic catheter in long-term parenteral feeding in a premature infant].
A 26 days old very-low-birthweight infant with an indwelling silastic-catheter and suddenly occurring symptoms of pulmonary hypoperfusion is reported. At post-mortem examination a mycotic-thrombus originating from the right atrium was found obturating the tricuspid valve. Despite of the very low incidence of complications with central silastic-catheters one should consider thromboembolic occlusion within the heart or the great vessels in any case of an unexplained sudden deterioration with profound hypoxemia.
Haim
M
M
Müller
W D
WD
Stein
J I
JI
Becker
H
H
D006332:Cardiomegaly / Q000209:etiology; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004374:Ductus Arteriosus, Patent / Q000150:complications; D004417:Dyspnea / Q000209:etiology; D005078:Exchange Transfusion, Whole Blood; D006325:Heart Atria / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000209:etiology*; D008297:Male; D009181:Mycoses / Q000209:etiology*; D013923:Thromboembolism / Q000209:etiology*
Pilzthrombus als seltene Komplikation des zentralen Silastic-Katheters nach Shaw, bei parenteraler Langzeiternährung des Frühgeborenen.