Skip to main content
SpringerLink
Log in

Catheter-Malposition-Induced Cardiac Tamponade via Contrast Media Leakage During Computed Tomography Study

  • CASE REPORT
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  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 1287–1296

    Google Scholar 

  2. Losert H, Prokesch R, Grabenwoger M, et al. (2000) Inadvertent transpericardial insertion of a central venous line with cardiac tamponade failure of preventive practices. Intensive Care Med 26:1147–1150

    Article  PubMed  Google Scholar 

  3. Scott WL (1995) Central venous catheters: an overview of Food and Drug Administration activities. Surg Oncol Clin North Am 4:377–393

    Google Scholar 

  4. Durand M, Ramanathan R, Martinelli B, et al. (1986) Prospective evaluation of percutaneous central venous catheters in newborn infants with birth weights of 510 to 3920 grams. Pediatrics 78:245–251

    PubMed  Google Scholar 

  5. Knutstad K, Hager B, Hauser M (2003) Radiologic diagnosis and management of complications related to central venous access. Acta Radiol 44:508–516

    Article  PubMed  Google Scholar 

  6. Goutail-Flaud MF, Sfez M, Berg A, et al. (1991) Central venous catheter-related complications in newborns and infants: a 587-case survey. J Pediatr Surg 26:645–650

    Article  PubMed  Google Scholar 

  7. van Engelenburg KCA, Festen C (1998) Cardiac tamponade: a rare life-threatening complication of central venous catheters in children. J Pediatr Surg 33:1822–1824

    Article  PubMed  Google Scholar 

  8. Collier PE, Goodman GB (1995) Cardiac tamponade caused by central venous catheter perforation of the heart: a preventable complication. J Am Coll Surg 181:459–463

    PubMed  Google Scholar 

  9. Beardsall K, White DK, Pinto EM, et al. (2003) Pericardial effusion and cardiac tamponade as complications of neonatal long lines: are they really a problem? Arch Dis Child Fetal Neonatal 88:F292–F295

    Article  Google Scholar 

  10. Collier PE, Blocker SH, Graff DM, et al. (1998) Cardiac tamponade from central venous catheters. Am J Surg 176:212–214

    Article  PubMed  Google Scholar 

  11. Forauer AR, Dasika NL, Gemmete JJ, et al. (2003)Pericardial tamponade complicating central venous intervention. J Vasc Intervent Radiol 14:255–259

    Google Scholar 

  12. Au SH, Sun DC, Lue HC (2003) Cardiac tamponade from percutaneous central venous catheterization: report of one case. Acta Paediatr Taiwan 44:235–237

    PubMed  Google Scholar 

  13. Pignotti MS, Messeri A, Donzelli G (2004) Thoracentesis in pericardial and pleural effusion caused by central venous catheterization: a less invasive neonatal approach. Paediatr Anaesth 14:349–351

    Article  PubMed  Google Scholar 

Download references

Author information

Author notes

  1. Chi-Di Liang

    Present address: Chang Gung University, Taoyuan, Taiwan

Authors and Affiliations

  1. Department of Pediatric Cardiology and Radiology, Chang Gung Children's Hospital, Kaohsiung, Taiwan

    Chi-Di Liang, Sheung-Fat Ko, Chien-Fu Huang, Shao Ju Chien & Mao Meng Tiao

Authors
  1. Chi-Di Liang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sheung-Fat Ko
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Chien-Fu Huang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Shao Ju Chien
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mao Meng Tiao
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chi-Di Liang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Liang, CD., Ko, SF., Huang, CF. et al. Catheter-Malposition-Induced Cardiac Tamponade via Contrast Media Leakage During Computed Tomography Study. Cardiovasc Intervent Radiol 28, 822–824 (2005). https://doi.org/10.1007/s00270-004-0340-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-004-0340-x

Keywords

Search

Navigation