Cardiac arrest in an extremely low birth weight infant: complication of percutaneous central venous catheter hyperalimentation.
We report a case of unexpected sudden cardiac arrest in an extremely low birth weight infant on the eighth day after a percutaneous silicone rubber central venous catheter was inserted for parenteral nutrition. The unique pathologic condition of infiltration of the myocardium with probably intralipid and degeneration of myocardial fibers over the right atrium and part of the right ventricle has not been reported in the past. There was no pericardial effusion. A brief review of the complications of central venous catheters is given.
Sasidharan
P
P
Department of Pediatrics, Medical College of Wisconsin, Milwaukee, USA.
Billman
D
D
Heimler
R
R
Nelin
L
L
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D017809:Fatal Outcome; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000628:therapy; D019102:Infant, Very Low Birth Weight; D008297:Male; D010289:Parenteral Nutrition, Total / Q000009:adverse effects* / Q000379:methods