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Newborn with an Intracardiac Mass Generated Secondary to Umbilical Vein Catheterization

Yıl 2017, Cilt: 20 Sayı: 3, 269 - 271, 03.12.2017

Öz

Umbilical
vein catheterization is a routine procedure of neonatal intensive care units,
and only rare complications associated with catheter malposition have been
described in the literature. We herein present an infant boy (28 days old, 4
kg) with an intracardiac mass diagnosed after umbilical vein catheterization.
The patient was referred to our clinic with a diagnosis of catheter migration
and thrombosis, but this could not be confirmed during surgery. Pathological
analysis of the excised intracardiac mass revealed nonbacterial thrombotic
endocarditis. Our case confirms the essentiality of controlling the location of
the umbilical venous catheter after its insertion.

Kaynakça

  • 1. Ashfaq M, Houston AB, Gnanapragasam JP, Lilley S, Murtagh EP. Balloon atrial septostomy under echocardiographic control: six years’ experience and evaluation of the practicability of cannulation via the umbilical vein. Br Heart J 1991;65:148-51.
  • 2. Bothur-Nowacka J, Czech-Kowalska, Gruszfeld D, Nowakowska-Rysz M, Kosciesza A, Polnik D, et al. Complications of umbilical vein catherisation. Pol J Radiol 2011;76:70-3
  • 3. Kim JH, Lee YS, Kim SH, Lee SK, Lim MK, Kim HS. Does umbilical vein catheterization lead to portal venous thrombosis? Prospective US evaluation in 100 neonates. Radiology 2001;219:645-50.
  • 4. Schlesinger AE, Braverman RM, DiPietro MA. Neonates and umbilical venous catheters: normal appearance, anomalous positions, complications, and potential aid to diagnosis. AJR Am J Roentgenol 2003;180:1147-53.
  • 5. Hermansen MC, Hermansen MG. Intravascular catheter complications in the neonatal intensive care unit. Clin Perinatol 2005;32:141-56.
  • 6. Lopez JA, Ross RS, Fishbein MC, Siegel RJ. Nonbacterial thrombotic endocarditis: a review. Am Heart J 1987;113:773-84.
  • 7. South M, Magnay A. Simple method for securing umbilical catheters. Arc Child 1988;63:750-1.
  • 8. Mills SE, Carter D, Greenson JK, Reuter VE, Stoler MH. Sternberg’s Diagnostic Pathology Vol I, 50th ed. Lippincot Williams &Wilkins, 2010;1219-21.
  • 9. Kumar V, Abbas AK, Aster JC. Robbins and cotran pathologic basis of disease. 9th ed. Elsevier Saunders, 2015:125.

Yeni Doğanda Umblikal Ven Kateterizasyonu Malpozisyonuna Sekonder Gelişen İntrakardiyak Kitle

Yıl 2017, Cilt: 20 Sayı: 3, 269 - 271, 03.12.2017

Öz

Umblikal
ven kateterizasyonu yenidoğan yoğun bakım ünitelerinde santral venöz erişim
için rutin olarak uygulanan girişimlerden biridir. Literatürde kateter
malpozisyonuna sekonder gelişen nadir komplikasyonlar bildirilmiştir. Burada
umblikal ven kateterizasyonunu takiben intrakardiyak kitle tanısı ile
kliniğimize yönlendirilen erkek yenidoğan bir olgu sunulmaktadır. Operasyonda
kateter migrasyonu veya tromboz gözlenmezken eksize edilen intrakardiyak
kitlenin patolojik tanısı nonbakteriyel trombotik endokardit ile
sonuçlanmıştır. Umblikal venöz kateterin uygun lokasyonda olduğunun kontrolü
komplikasyonların önlenmesinde temel gerekliliktir.

Kaynakça

  • 1. Ashfaq M, Houston AB, Gnanapragasam JP, Lilley S, Murtagh EP. Balloon atrial septostomy under echocardiographic control: six years’ experience and evaluation of the practicability of cannulation via the umbilical vein. Br Heart J 1991;65:148-51.
  • 2. Bothur-Nowacka J, Czech-Kowalska, Gruszfeld D, Nowakowska-Rysz M, Kosciesza A, Polnik D, et al. Complications of umbilical vein catherisation. Pol J Radiol 2011;76:70-3
  • 3. Kim JH, Lee YS, Kim SH, Lee SK, Lim MK, Kim HS. Does umbilical vein catheterization lead to portal venous thrombosis? Prospective US evaluation in 100 neonates. Radiology 2001;219:645-50.
  • 4. Schlesinger AE, Braverman RM, DiPietro MA. Neonates and umbilical venous catheters: normal appearance, anomalous positions, complications, and potential aid to diagnosis. AJR Am J Roentgenol 2003;180:1147-53.
  • 5. Hermansen MC, Hermansen MG. Intravascular catheter complications in the neonatal intensive care unit. Clin Perinatol 2005;32:141-56.
  • 6. Lopez JA, Ross RS, Fishbein MC, Siegel RJ. Nonbacterial thrombotic endocarditis: a review. Am Heart J 1987;113:773-84.
  • 7. South M, Magnay A. Simple method for securing umbilical catheters. Arc Child 1988;63:750-1.
  • 8. Mills SE, Carter D, Greenson JK, Reuter VE, Stoler MH. Sternberg’s Diagnostic Pathology Vol I, 50th ed. Lippincot Williams &Wilkins, 2010;1219-21.
  • 9. Kumar V, Abbas AK, Aster JC. Robbins and cotran pathologic basis of disease. 9th ed. Elsevier Saunders, 2015:125.
Toplam 9 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Olgu Sunumları
Yazarlar

Aybala Tongut Bu kişi benim

Ali Can Hatemi Bu kişi benim

Eylem Tunçer Bu kişi benim

Ayşe Bahar Ceyran Bu kişi benim

Füsun Güzelmeriç Bu kişi benim

Ayşe İnci Yıldırım Bu kişi benim

Hakan Ceyran Bu kişi benim

Yayımlanma Tarihi 3 Aralık 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 20 Sayı: 3

Kaynak Göster

Vancouver Tongut A, Hatemi AC, Tunçer E, Ceyran AB, Güzelmeriç F, Yıldırım Aİ, Ceyran H. Newborn with an Intracardiac Mass Generated Secondary to Umbilical Vein Catheterization. Koşuyolu Heart Journal. 2017;20(3):269-71.