cardiac tamponade secondary to perforation of innominate vein following central line insertion in a neonate

اندحاس قلبي ثانوي لانثقاب الوريد اللامسمى عقب إدخال خط وريدي مركزي لدى حديث الولادة

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2014
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Ranked #65 of 138 articles by views in Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association

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Abstract
Cardiac tamponade following central line in a neonate is rare and an uncommon situation; however, it is potentially reversible when it is diagnosed in time. We report a case of cardiac tamponade following central line insertion. A 10-day-old 2.2 kg girl operated for obstructed total anomalous pulmonary venous connections had neckline slipped out during extubation. Attempted cannulations of right femoral vein were unsuccessful. At the end of the left internal jugular vein cannulaton, there was a sudden cardiorespiratory arrest. Immediate transthoracic echocardiogram showed left pleural and pericardial collection. Chest was opened and the catheter tip was seen in the thoracic cavity after puncturing the innominate vein. The catheter was removed and the vent was repaired.
يُعد الاندحاس القلبي التالي لوضع خط وريدي مركزي لدى حديثي الولادة حالة نادرة وغير شائعة؛ ومع ذلك، فإنه يُعد قابلاً للتراجع في حال تشخيصه في الوقت المناسب. نورد هنا حالة اندحاس قلبي عقب إدخال قسطرة وريدية مركزية؛ حيث خضعت رضيعة تبلغ من العمر 10 أيام وتزن 2.2 كغ لعملية جراحية لعلاج العود الوريدي الرئوي الشاذ التام الانسدادي، وانزلقت القسطرة الرقبية أثناء نزع الأنبوب الرغامي. لم تنجح محاولات قسطرة الوريد الفخذي الأيمن، ومع نهاية قسطرة الوريد الوداجي الباطن الأيسر، حدث توقف قلبي تنفسي مفاجئ. أظهر تخطيط صدى القلب الفوري عبر الصدر وجود تجمع لسائل في الجنب والتامور في الجانب الأيسر. تم فتح الصدر وشوهد طرف القسطرة داخل التجويف الصدري بعد اختراقها للوريد اللامسمى. أُزيلت القسطرة ورُمِّم موضع الانثقاب.
Reference Key
dhanasekaran2014indiancardiac Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Ramkumar Dhanasekaran;Ranjith B Karthekeyan;Mahesh Vakamudi
Journal Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association
Year 2014
DOI
10.4103/0019-5049.147174
URL
http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=6;spage=749;epage=751;aulast=Dhanasekaran
Keywords
neonate

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