Newborn with an Intracardiac Mass Generated Secondary to Umbilical Vein Catheterization

Abstract

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.

Keywords

• Neonate,thrombosis,umbilical venous catheter,nonbacterial thrombotic endocarditis

Yeni Doğanda Umblikal Ven Kateterizasyonu Malpozisyonuna Sekonder Gelişen İntrakardiyak Kitle

Abstract

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.

Keywords

• Yenidoğan,tromboz,umblikal ven kateterizasyonu,nonbakteriyel trombotik endokardit

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