Cardiac tamponade and bilateral pleural effusion in a very low birth weight infant.
A very low birth weight premature newborn developed a sudden cardiac tamponade due to parenteral fluid extravasation 1 month after central line insertion. Besides tensive pericardial effusion a bilateral pleural effusion also developed. An emergency pericardiocentesis was really life-saving and after pleural fluid removal a complete cardiorespiratory recovery was obtained. Pericardial and bilateral pleural effusions very rarely coexist as a complication of central line extravasation.
Haass
Cristina
C
Neonatal Intensive Care Unit, S. Pietro Fatebenefratelli Hospital, Rome, Italy.
Sorrentino
Elena
E
Tempera
Alessia
A
Consigli
Chiara
C
De Paola
Domenico
D
Calcagni
Giulio
G
Piastra
Marco
M
Finocchi
Maurizio
M
D002305:Cardiac Tamponade / Q000209:etiology* / Q000628:therapy; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications* / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D010288:Parenteral Nutrition; D020519:Pericardiocentesis; D010996:Pleural Effusion / Q000209:etiology* / Q000628:therapy