Naslov
Nonfatal cardiac perforation after central venous catheter insertion.

Autori
Premužić, Vedran ; Katalinić, Lea ; Pašalić, Marijan ; Jurin, Hrvoje

Izvornik
Saudi Journal of Anaesthesia (1658-354X) 12 (2018), 1; 118-120

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, znanstveni

Ključne riječi
cardiac perforation ; central venous catheter ; complications ; pericardial effusion

Sažetak
Cardiac tamponade caused by perforation of the cardiac wall is a rare complication related to central venous catheter (CVC) placement. A 71- year-old female with a previous history of moderate aortic stenosis and kidney transplantation was admitted to hospital due to global heart failure and worsening of allograft function. Intensified hemodialysis was commenced through a CVC placed in the right subclavian vein. Chest radiography revealed catheter tip in the right atrium and no signs of pneumothorax. Thorough diagnostics outruled immediate life- threatening conditions, such as myocardial infarction and pulmonary embolism. However, not previously seen, 2 cm thick pericardial effusion without repercussion on the blood flow was visualized during echocardiography, predominantly reclining the free surface of the right atrium, with fibrin scar tissue covering the epicardium - it was the spot of spontaneously recovered cardiac wall perforation. Follow-up echocardiogram performed before the discharge showed regression of the previously found pericardial effusion.

Izvorni jezik
Engleski

POVEZANOST RADA