publication . Article . 2005

Cardiac tamponade and pericardial effusion due to venous umbilical catheterization.

Traen, Marijke; Schepens, Elisabeth; Laroche, Sabine; van Overmeire, Bart;
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  • Published: 01 May 2005 Journal: Acta Paediatrica, volume 94, pages 626-628 (issn: 0803-5253, Copyright policy)
  • Publisher: Wiley
  • Country: Belgium
Abstract
Aim: We present three cases of neonatal cardiac tamponade due to umbilical venous catheterization, a rare, but potentially fatal complication. Methods: Timely diagnosis was made by echocardiography, and an urgent pericardiocentesis revealed TPN fluid. Perforation of the cardial wall was proven by contrast X-ray showing contrast diffusing into the pericardial space. Discussion: Most frequently, perforation has a delayed course and results from endothelial injury, caused by the hyperosmolar fluids, leading to transmural necrosis and thrombosis. Subsequently, the fluid diffuses transmurally across the myocardium into the pericardium. As migration of the catheter ti...
Subjects
free text keywords: Pediatrics, Perinatology, and Child Health, General Medicine, Medicine, business.industry, business, Internal medicine, medicine.medical_specialty, Pericardiocentesis, medicine.medical_treatment, Cardiology, Surgery, Thrombosis, medicine.disease, Pericardium, medicine.anatomical_structure, Catheter, Pericardial effusion, Cardiac tamponade, Complication, Heart disease
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publication . Article . 2005

Cardiac tamponade and pericardial effusion due to venous umbilical catheterization.

Traen, Marijke; Schepens, Elisabeth; Laroche, Sabine; van Overmeire, Bart;