Central Catheter-Induced Cardiac Tamponade in Neonates: Two Case Reports

IF 0.7 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Surgery Forum Pub Date : 2023-11-06 DOI:10.59958/hsf.5825
Hyungtae Kim, Kwang Ho Choi
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Abstract

Intraoperative central venous catheter (CVC) insertion has become a routine procedure for pediatric cardiac surgery patients at our center. The case in which large amounts of pericardial effusion resulting in cardiac tamponade other than direct puncture of the catheter is a rare, but often causes fatal complications. Two of our patients suffered cardiac collapse after surgery owing to cardiac tamponade. Both the patients were successfully treated with pericardiocentesis, and the pericardial fluid had a high glucose level. Subsequently, the patients were discharged without any sequelae. During a serial radiographic follow-up, we found a pre-event alteration in the CVC angulation. These two cases highlight the fact that clinicians should pay attention to serial follow-up of chest radiography for monitoring any changes in the catheter status, such as its position or angulation, to prevent unexpected complications. The only way to prevent fatal complications due to CVC is timely recognition of any alteration in CVC based on radiological examinations. In instances of CVC changes, the issues should be addressed as quickly as possible.
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新生儿中心导管诱发心包填塞2例报告
术中中心静脉置管(CVC)已成为我中心小儿心脏手术患者的常规操作。大量心包积液导致心包填塞而不直接穿刺导管的情况很少见,但往往会引起致命的并发症。其中2例患者术后因心包填塞导致心脏衰竭。两例患者均经心包穿刺治疗成功,心包液血糖水平较高。随后,患者出院,无任何后遗症。在一系列的x线随访中,我们发现CVC成角的事前改变。这两个病例强调临床医生应注意连续随访胸片,以监测导管状态的任何变化,如其位置或成角,以防止意外并发症。预防CVC致死性并发症的唯一方法是根据影像学检查及时识别CVC的任何改变。在CVC变化的情况下,应该尽快解决这些问题。
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来源期刊
Heart Surgery Forum
Heart Surgery Forum 医学-外科
CiteScore
1.20
自引率
16.70%
发文量
130
审稿时长
6-12 weeks
期刊介绍: The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.
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