Cardiac tamponade caused by central venous catheter in two newborns.
Cardiac tamponade secondary to the use of central venous catheter is a rare complication; however, it is potentially reversible when it is caught in time. We report two cases of cardiac tamponade that was diagnosed using a transthoracic echocardiography, followed by urgent pericardiocentesis and surgical pericardial drainage as a complication from umbilical venous catheterization. In one case, the tip of the catheter was properly placed, and in the other case, it was not. In both cases, a hyperosmolar solution was being injected. Although it may be an uncommon situation, it should be always considered as a possibility in a newborn who develops cardiogenic shock without an apparent cause.
Monteiro
Andrey José
AJ
leonardo.canale@gmail.com
Canale
Leonardo Secchin
LS
Barbosa
Rodrigo
R
Méier
Milton
M
D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D019544:Equipment Failure Analysis; D006801:Humans; D007231:Infant, Newborn; D014463:Ultrasonography; D014471:Umbilical Veins