title: Fatal cardiac perforation caused by the dilator of a central venous catheterization kit.
abstract: We report a case of cardiac perforation and tamponade caused by the dilator of a central venous catheterization kit. Standards for dilator manufacture and guidelines for safe use of these instruments are suggested.
authors.affiliation: Department of Anesthesiology, Louisiana State Medical Center, New Orleans 70140.
authors.forename: M R
authors.initials: MR
authors.lastname: Mitchell
authors.forename: D G
authors.initials: DG
authors.lastname: Wood
authors.forename: M
authors.initials: M
authors.lastname: Naraghi
authors.forename: J M
authors.initials: JM
authors.lastname: Riopelle
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D017809:Fatal Outcome; D005260:Female; D006335:Heart Injuries / Q000209:etiology*; D006801:Humans; D008875:Middle Aged