Newborn with an Intracardiac Mass Generated Secondary to Umbilical Vein Catheterization

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

Aybala Tongut Ali Can Hatemi Eylem Tunçer Ayşe Bahar Ceyran Füsun Güzelmeriç Ayşe İnci Yıldırım Hakan Ceyran

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.

Anahtar Kelimeler

Neonate, thrombosis, umbilical venous catheter, nonbacterial thrombotic endocarditis

Yeni Doğanda Umblikal Ven Kateterizasyonu Malpozisyonuna Sekonder Gelişen İntrakardiyak Kitle

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.

Anahtar Kelimeler

Yenidoğan, tromboz, umblikal ven kateterizasyonu, nonbakteriyel trombotik endokardit

Kaynakça

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