Cardiomegaly in a premature neonate after venous umbilical catheterization

Schlapbach, Luregn Jan, Pfammatter, Jean-Pierre, Nelle, Mathias and McDougall, Felicity Jane (2009) Cardiomegaly in a premature neonate after venous umbilical catheterization. European Journal of Pediatrics, 168 1: 107-109. doi:10.1007/s00431-008-0704-3

Author Schlapbach, Luregn Jan
Pfammatter, Jean-Pierre
Nelle, Mathias
McDougall, Felicity Jane
Title Cardiomegaly in a premature neonate after venous umbilical catheterization
Journal name European Journal of Pediatrics   Check publisher's open access policy
ISSN 0340-6199
Publication date 2009-01-01
Year available 2009
Sub-type Article (original research)
DOI 10.1007/s00431-008-0704-3
Open Access Status Not yet assessed
Volume 168
Issue 1
Start page 107
End page 109
Total pages 3
Place of publication Heidelberg, Germany
Publisher Springer
Language eng
Subject 2735 Pediatrics, Perinatology, and Child Health
Abstract Umbilical venous catheters allow rapid central access in neonates, but may be associated with various complications. We present a case of a newborn with pericardial effusion following umbilical venous catheterization. An extremely low birth weight infant was intubated for respiratory distress syndrome and had umbilical venous and arterial lines in place. Massive cardiomegaly was noted on the subsequent chest X-ray. Echocardiography revealed a large pericardial effusion without signs of tamponade. After removing the catheter, the effusion gradually resolved. While pericardial effusion is a well-known complication of percutaneous long central lines, only a few case reports have documented sudden cardiovascular compromise associated with umbilical venous catheters. Pericardial effusion may be asymptomatic and should be suspected in infants with central catheters and progressive cardiomegaly. The prompt removal of catheters and, if signs of cardiac tamponade are present, emergency pericardiocentesis may prove to be life-saving.
Keyword Cardiac tamponade
Central venous catheterization
Pericardial effusion
Umbilical vein
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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