Cardiac tamponade from percutaneous central venous catheterization: report of one case.
Central venous catheters (CVC) are occasionally associated with life-threatening extravasation complications. We report a case of cardiac tamponade in a premature infant complicating with percutaneous central venous catheter. The baby developed respiratory distress while receiving parenteral nutrition through a central venous line. Chest X-ray films revealed progressive increasing cardiomegaly and 2-dimensional (2-D) echocardiography showed a "swinging heart." A diagnosis of cardiac tamponade was made and the baby was rescued under emergency pericardiocentesis and removal of the central catheter. The aspirated fluid was the content of parenteral fluid administered.
Au
Sik-Hon
SH
Department of Pediatrics, Min-Sheng General Hospital, 168 Ching Kuo Road, Taoyuan City, Taiwan.
Sun
Der-Chin
DC
Lue
Hung-Chi
HC
D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004452:Echocardiography; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000209:etiology*; D008297:Male; D020519:Pericardiocentesis