Limits...
Central venous catheter-associated pericardial tamponade in a 6-day old: a case report.

Arya SO, Hiremath GM, Okonkwo KC, Pettersen MD - Int J Pediatr (2010)

Bottom Line: Prompt pericardiocentesis led to significant improvement in the cardio-respiratory status and removal of the central line prevented the fluid from reaccumulating.Conclusion.We also discuss the proposed hypothesis for the mechanism of production of PCE.

View Article: PubMed Central - PubMed

Affiliation: The Carman and Ann Adams Department of Pediatrics, Wayne State University and Division of Pediatric Cardiology, Children's Hospital of Michigan, Detroit, MI 48201, USA.

ABSTRACT
Introduction. Pericardial effusion (PCE) and tamponade can cause significant morbidity and mortality in neonates. Such cases have been reported in the literature in various contexts. Case Presentation. A 6-day old neonate with meconium aspiration syndrome and persistent pulmonary hypertension of newborn on high frequency oscillator ventilation and inhaled nitric oxide was referred to our hospital with a large pericardial effusion causing hemodynamic compromise. Prompt pericardiocentesis led to significant improvement in the cardio-respiratory status and removal of the central line prevented the fluid from reaccumulating. Cellular and biochemical analysis aided in the diagnosis of catheter related etiology with possibility of infusate diffusion into the pericardial space. Conclusion. We present this paper to emphasize the importance of recognizing this uncommon but serious complication of central venous catheters in intensive care units. We also discuss the proposed hypothesis for the mechanism of production of PCE.

No MeSH data available.


Related in: MedlinePlus

Echocardiogram on day 1 of admission showing massive pericardial effusion present globally around the heart.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2821761&req=5

fig1: Echocardiogram on day 1 of admission showing massive pericardial effusion present globally around the heart.


Central venous catheter-associated pericardial tamponade in a 6-day old: a case report.

Arya SO, Hiremath GM, Okonkwo KC, Pettersen MD - Int J Pediatr (2010)

Echocardiogram on day 1 of admission showing massive pericardial effusion present globally around the heart.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2821761&req=5

fig1: Echocardiogram on day 1 of admission showing massive pericardial effusion present globally around the heart.
Bottom Line: Prompt pericardiocentesis led to significant improvement in the cardio-respiratory status and removal of the central line prevented the fluid from reaccumulating.Conclusion.We also discuss the proposed hypothesis for the mechanism of production of PCE.

View Article: PubMed Central - PubMed

Affiliation: The Carman and Ann Adams Department of Pediatrics, Wayne State University and Division of Pediatric Cardiology, Children's Hospital of Michigan, Detroit, MI 48201, USA.

ABSTRACT
Introduction. Pericardial effusion (PCE) and tamponade can cause significant morbidity and mortality in neonates. Such cases have been reported in the literature in various contexts. Case Presentation. A 6-day old neonate with meconium aspiration syndrome and persistent pulmonary hypertension of newborn on high frequency oscillator ventilation and inhaled nitric oxide was referred to our hospital with a large pericardial effusion causing hemodynamic compromise. Prompt pericardiocentesis led to significant improvement in the cardio-respiratory status and removal of the central line prevented the fluid from reaccumulating. Cellular and biochemical analysis aided in the diagnosis of catheter related etiology with possibility of infusate diffusion into the pericardial space. Conclusion. We present this paper to emphasize the importance of recognizing this uncommon but serious complication of central venous catheters in intensive care units. We also discuss the proposed hypothesis for the mechanism of production of PCE.

No MeSH data available.


Related in: MedlinePlus