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Revista Mexicana de Pediatría

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2000, Number 4

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Rev Mex Pediatr 2000; 67 (4)

Late cardiac tamponade: a strange complication of the central veined catheters

Rodríguez BI, García CM, Sánchez CGR, Marroquín EAR
Full text How to cite this article

Language: Spanish
References: 10
Page: 180-183
PDF size: 674.08 Kb.


Key words:

Central venous catheter, cardiac perforation, tamponade cardiac.

ABSTRACT

Case report. The authors present two cases in which the placement of a central venous catheter resulted in non lethal cardiac tamponade, they left the hospital in good state of health and without sequela. Conclusion. One should take care in positioning the catheter tip to prevent perforation of the heart by tip. After insertion of the catheter it is recommended to confirm correct position and function of the central venous catheter by means of a contrast-enhanced chest x-ray in our opinion, the catheter tip should placed in the superior caval vein to prevent this complication.


REFERENCES

  1. Engelengurg van KCA, Festen C. Cardiac tamponade: A rare but life-threatening complication of central venous catheters in children. J Pediatr Surg 1998; 33: 1822-1824.

  2. Weber TR, West KW, Grosfeld JL. Broviac central venous catheterization in infants and children. Am J Surg 1983; 145: 202-204.

  3. Krasha IH, Krause T. Life-threatening fluid extravasation of central venous catheters. J Pediatr Surg 1991; 26: 1346-1348.

  4. Bar-Joseph G, Galvis AG. Perforation of the heart by central venous catheters in infants: Guidelines to diagnosis and management. J Pediatr Surg 1983; 18: 284-287.

  5. Festen C, KCA van Engelenburg. Cardiac tamponade: a rare but life-threatening complication of central venous catheters in children. J Pediatr Surg 1998; 33: 1822-182.

  6. Brandt RL, Foley WJ, Fink GH et al. Mechanism of perforation of the heart with production of hydropericardium by a venous catheter and its prevention. Am J Surg 1970; 119: 311-316.

  7. Kim FM, Burrows PE, Hoffer FA et al. Interpreting the results of pediatric central venous catheter studies. Radiographics 1996; 16: 747-754.

  8. Dunbar RD, Mitchell R, Lavine M. Aberrant locations of central venous catheters. Lancet 1981; 1: 711-715

  9. Lucas H, Attard-Montalto SP, Saha V et al. Central venous catheter tip position and malfunction in a paediatric oncology unit. Pediatr Surg Int 1996; 11: 159-163.

  10. Goutail-Flaud MF, Sfez M, Berg A et al. Central venous catheter-related complications in newborns and infants: A 587-case survey. J Pediatr Surg 1991; 26: 645-650.




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C?MO CITAR (Vancouver)

Rev Mex Pediatr. 2000;67