Tamponamento cardíaco em dois recém-nascidos causado por cateter umbilical Cardiac tamponade caused by central venous catheter in two newborns
| Title: | Tamponamento cardíaco em dois recém-nascidos causado por cateter umbilical Cardiac tamponade caused by central venous catheter in two newborns |
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| Authors: | Andrey José Monteiro, Leonardo Secchin Canale, Rodrigo Barbosa, Milton Méier |
| Source: | Brazilian Journal of Cardiovascular Surgery, Vol 23, Iss 3, Pp 422-424 (2008) |
| Publisher Information: | Sociedade Brasileira de Cirurgia Cardiovascular, 2008. |
| Publication Year: | 2008 |
| Collection: | LCC:Surgery LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: | Tamponamento cardíaco, Recém-nascido, Veias umbilicais, Cateterismo Venoso Central, Cateterismo, Cardiac tamponade, Infant, newborn, Umbilical veins, Catheterization, central venous, Catheterization, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: | Tamponamento cardíaco secundário ao uso de cateter venoso central é uma complicação rara, porém potencialmente tratável, quando identificada a tempo. Nós relatamos dois casos de tamponamento cardíaco, diagnosticados por ecocardiograma transtorácico, seguido de pericardiocentese de urgência e drenagem pericárdica cirúrgica como complicação de cateterização venosa umbilical. Em um caso, a ponta do cateter estava adequadamente localizada e, no outro caso, não. Em ambos os casos, solução hiperosmolar estava sendo infundida. Apesar de situação incomum, esta deve ser sempre considerada em neonato, evoluindo com choque cardiogênico sem causa aparente.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. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 0102-7638 1678-9741 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382008000300023; https://doaj.org/toc/0102-7638; https://doaj.org/toc/1678-9741 |
| DOI: | 10.1590/S0102-76382008000300023 |
| Access URL: | https://doaj.org/article/1f5ba2110406467fad05010b434cdc89 |
| Accession Number: | edsdoj.1f5ba2110406467fad05010b434cdc89 |
| Database: | Directory of Open Access Journals |
| ISSN: | 01027638 16789741 |
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| DOI: | 10.1590/S0102-76382008000300023 |
| Published in: | Brazilian Journal of Cardiovascular Surgery |
| Language: | English |