title: [Heart tamponade: a life-threatening complication of a central venous catheter].
abstract: A 57-year-old female patient initially admitted with acute pancreatitis became extremely hypotensive, with increased central venous pressure, a few hours after insertion of a central venous catheter into the right subclavian vein. Echocardiography revealed a large amount of pericardial fluid, which was removed by pericardiocentesis. A cardiac tamponade as a result of central venous cannulation is a rare but serious complication with a high mortality rate. The tamponade may be the result of perforation of the V. cava superior, the right atrium or the right ventricle (as in the patient described). Cardiac tamponade should be suspected in any patient with severe hemodynamic problems after insertion of a central venous line.
authors.affiliation: Afd. Intensive Care Heelkunde, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
authors.forename: A G
authors.initials: AG
authors.lastname: Whitteveen
authors.forename: J W
authors.initials: JW
authors.lastname: Wirds
authors.forename: A M
authors.initials: AM
authors.lastname: Beek
authors.forename: E S
authors.initials: ES
authors.lastname: Boon
authors.forename: J I
authors.initials: JI
authors.lastname: van der Spoel
mesh_terms: D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006335:Heart Injuries / Q000150:complications / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D014463:Ultrasonography