Fatal cardiac perforation caused by the dilator of a central venous catheterization kit.
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.
Mitchell
M R
MR
Department of Anesthesiology, Louisiana State Medical Center, New Orleans 70140.
Wood
D G
DG
Naraghi
M
M
Riopelle
J M
JM
D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D017809:Fatal Outcome; D005260:Female; D006335:Heart Injuries / Q000209:etiology*; D006801:Humans; D008875:Middle Aged