BibTex RIS Kaynak Göster

Pericardial effusion in a preterm infant after venous umbilical catheterization

Yıl 2013, , 101 - 103, 01.06.2013
https://doi.org/10.5505/sakaryamj.2013.62533

Öz

Central venous catheterization is widely used in neonatal intensive care units to support tiny pretermbabies.Pericardial effusion (PCE) and cardiac tamponade are uncommon but potentially fatalcomplications of percutaneous, umbilical or surgically placed central venous catheters. It is related toinitial intracardiac positioning or subsequent migration of the catheter. This report describes a case ofPCE in an extremely premature infant after infusion of fluids via umbilical venous catheter Massive cardiomegaly was noted on the subsequent chest X-Ray. Echocardiography revealed a largepericardial effusion without sings of tamponade. The effusion gradually resolved after removal of thecatheter and administration of ibuprofen to reduce inflamation. Following cardiac examinationsrevealed no functional or anatomical pathology.

Kaynakça

  • Beardsall K, White DK, Pinto EM, Kelsall AWR. Percardial effusion and cardiac tamponade as complications of neonatal long lines: are they really a problem? Arch Dis Child Fetal Neonatal 2003; 88: F292-F295
  • Cortwright DW. Central venous lines in neonates; a study of 2, 186 catheters. Arch DisChild Fetal Neonatal 2004; 89:F504-F508.
  • Ades A, Sable C, Cummings S, Cross R, Markle B , Martin G. Echocardiographic evaluation of umbilical venous catheter placement. J Perinatol 2003;23:24-28.
  • Sehgal A, Cook V, Dunn M. Pericardial effusion associated with an appropriately placed umbilical venous catheter. J Perinatol 2007;27:317-319.
  • Wirrell EC, Pelausa EO, Allen AC, Stinson DA, HenraBD. Massive pericardial effusions as a cause for sudden deteriotion of a very low birth weight infant. J Perinatol 1993;10:419-422.
  • Garg M, Chang CC, Merritt RJ. An unusual case presentation. Pericardial tamponade complicating central venous catheter . J Perinatol 1989;9:456-477.
  • Jouvencel P, Tourneux P, Perez T, Sauret A, Nelsol JR, Brissaud O et al. Central catheters and pericardial effusion : results of a multicentric retrospective study.Arc Pediatr 2005; 10: 1456-1461.
  • Salvadori S, Piva D, Filippone M. Umbilical venous line displacent as a consequence of abdominal girth variation. J Pediatr 2002;141:737.
  • Trean M Schepens E, Laroche S, Van Overmeire B. Cardiac tamponade and pericardial effusion due to venous umbilical catheterization.Acta Pediatr 2005;94:626-628.
  • Francesca PF, Maria Pia DC, Simonetta C,Gabriella DR, Annaluce Z, COstantino Rl. Cardiac complications in preterm infants with percutaneous long lines:The importance of early diagnosis . Resuscitation 2008; 79: 506-508.

Umbilikal ven kateterizasyondan sonra preterm bebekte perikardiyal efüzyon

Yıl 2013, , 101 - 103, 01.06.2013
https://doi.org/10.5505/sakaryamj.2013.62533

Öz

Santral venöz kateterizasyon çok küçük prematüre bebekleri desteklemek için yenidoğan yoğun bakımünitelerinde yaygın olarak kullanılır. Perikardiyal effüzyon ve kardiyak tamponad perkutan,umbilikalveya cerrahi olarak yerleştirilen venöz kateterlerin nadir fakat fatal komplikasyonlarıdır.Bu durumkateterin başlangıçtaki intrakardiyak pozisyonuna veya daha sonra yer değiştirmesiyle ilişkilidir.Bu yazıda umbilikal venöz kateter yoluyla sıvı infüzyonu sonrası çok küçük prematüre infantta gelişenperkardiyal effüzyon vakası anlatılmıştır.Akciğer filminde masif kardiyomegali saptandı.Ekokardiyografide tamponad bulguları olmayan geniş perikardiyal effüzyon tespit edildi.Effüzyon kateterin çıkarılmasından ve inflamasyonu azaltmak için ibuprofen verilmesinden sonra genişölçüde düzeldi.Takip eden kardiyolojik muayenelerde anatomik ve fonksiyonel patoloji saptanmadı.

Kaynakça

  • Beardsall K, White DK, Pinto EM, Kelsall AWR. Percardial effusion and cardiac tamponade as complications of neonatal long lines: are they really a problem? Arch Dis Child Fetal Neonatal 2003; 88: F292-F295
  • Cortwright DW. Central venous lines in neonates; a study of 2, 186 catheters. Arch DisChild Fetal Neonatal 2004; 89:F504-F508.
  • Ades A, Sable C, Cummings S, Cross R, Markle B , Martin G. Echocardiographic evaluation of umbilical venous catheter placement. J Perinatol 2003;23:24-28.
  • Sehgal A, Cook V, Dunn M. Pericardial effusion associated with an appropriately placed umbilical venous catheter. J Perinatol 2007;27:317-319.
  • Wirrell EC, Pelausa EO, Allen AC, Stinson DA, HenraBD. Massive pericardial effusions as a cause for sudden deteriotion of a very low birth weight infant. J Perinatol 1993;10:419-422.
  • Garg M, Chang CC, Merritt RJ. An unusual case presentation. Pericardial tamponade complicating central venous catheter . J Perinatol 1989;9:456-477.
  • Jouvencel P, Tourneux P, Perez T, Sauret A, Nelsol JR, Brissaud O et al. Central catheters and pericardial effusion : results of a multicentric retrospective study.Arc Pediatr 2005; 10: 1456-1461.
  • Salvadori S, Piva D, Filippone M. Umbilical venous line displacent as a consequence of abdominal girth variation. J Pediatr 2002;141:737.
  • Trean M Schepens E, Laroche S, Van Overmeire B. Cardiac tamponade and pericardial effusion due to venous umbilical catheterization.Acta Pediatr 2005;94:626-628.
  • Francesca PF, Maria Pia DC, Simonetta C,Gabriella DR, Annaluce Z, COstantino Rl. Cardiac complications in preterm infants with percutaneous long lines:The importance of early diagnosis . Resuscitation 2008; 79: 506-508.
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Arzu Gebeşçe Bu kişi benim

Esengül Keleş Bu kişi benim

Hamza Yazgan Bu kişi benim

İlyas Akdemir Bu kişi benim

Yayımlanma Tarihi 1 Haziran 2013
Gönderilme Tarihi 7 Eylül 2015
Yayımlandığı Sayı Yıl 2013

Kaynak Göster

AMA Gebeşçe A, Keleş E, Yazgan H, Akdemir İ. Umbilikal ven kateterizasyondan sonra preterm bebekte perikardiyal efüzyon. Sakarya Tıp Dergisi. Haziran 2013;3(2):101-103. doi:10.5505/sakaryamj.2013.62533

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