Pulmonary complications of umbilical venous catheters.
Umbilical venous catheters that are pushed in too far will usually cross the atrial septum and may dislodge in a pulmonary vein. The authors report eight neonates with radiographic documentation of this catheter malposition together with either a localized pulmonary opacification or an autopsy report of a pulmonary hemorrhage or infarction corresponding to the catheter position. The lung injury ranged from a transient edema to hemorrhagic pulmonary infarction and hydrothorax. In two cases autopsy demonstrated localized infarction without previous radiographic signs of catheter-related injury.
Björklund
L J
LJ
Department of Pediatrics, University Hospital, Lund, Sweden.
Malmgren
N
N
Lindroth
M
M
D002406:Catheterization, Peripheral / Q000009:adverse effects*; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D007231:Infant, Newborn; D008297:Male; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D011667:Pulmonary Veins; D011859:Radiography; D014471:Umbilical Veins