Catheter-Malposition-Induced Cardiac Tamponade via Contrast Media Leakage During Computed Tomography Study
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We present a rare case of a central venous catheter-malposition-induced life-threatening cardiac tamponade as a result of computed tomography (CT) with contrast enhancement in an infant with a ventricular septal defect and pulmonary atresia after a modified Blalock–Taussig shunt. The diagnosis was confirmed by chest radiographs and CT study with catheter perforation through the right atrial wall and extravasation of the contrast medium into the pericardium, leading to cardiac tamponade and subsequent circulatory collapse. Two hours after successful cardiopulmonary resuscitation, the patient gradually resumed normal hemodynamic status.
KeywordsAcute pericarditis Cardiac tamponade Contrast medium Computed tomography Complication Catheter
- 1.Rheuban KS (2001) Pericardial diseases. In: Allen HD, Gutgesell HP, Clark EB, Driscoll DJ (eds.) Heart Disease in Infants, Children, and Adolescents, 6th ed. Lippincott Williams & Wilkins. Philadelphia, pp 1287–1296Google Scholar
- 3.Scott WL (1995) Central venous catheters: an overview of Food and Drug Administration activities. Surg Oncol Clin North Am 4:377–393Google Scholar
- 11.Forauer AR, Dasika NL, Gemmete JJ, et al. (2003)Pericardial tamponade complicating central venous intervention. J Vasc Intervent Radiol 14:255–259Google Scholar