title: Atrial flutter following placement of an umbilical venous catheter.
abstract: Atrial flutter is a rare complication of the insertion of an umbilical venous catheter. We report a neonate who had an umbilical venous catheter placed within the first 24 hours of life and developed a hemodynamically stable tachyarrhythmia. The arrhythmia was successfully managed with synchronized cardioversion, with no further complications. The presentation and management are discussed. Physicians should be watchful for such potentially life-threatening complications from the placement of indwelling lines.
authors.affiliation: Section of Neonatology, Department of Pediatrics, Baylor College of Medicine and Texas Childrens Hospital, Houston, Texas 77030, USA.
authors.forename: Anuj
authors.initials: A
authors.lastname: Sinha
authors.forename: Caraciolo J
authors.initials: CJ
authors.lastname: Fernandes
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Kim
authors.forename: Arnold L
authors.initials: AL
authors.lastname: Fenrich
authors.forename: Josephine
authors.initials: J
authors.lastname: Enciso
mesh_terms: D002404:Catheterization / Q000009:adverse effects*; D003937:Diagnosis, Differential; D004554:Electric Countershock; D004562:Electrocardiography; D005320:Fetal Macrosomia / Q000188:drug therapy; D005947:Glucose / Q000008:administration & dosage; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous / Q000009:adverse effects; D008297:Male; D013610:Tachycardia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014471:Umbilical Veins
chemical_list: D005947:Glucose