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Perforation of Right Ventricle and Pericard by a Central Venous Catheter During Total Parenteral Nutrition
Author(s) -
Halevy Ariel,
Adam Yehuda,
Reif Renate,
Eshchar Jerachmiel
Publication year - 1982
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607182006005460
Subject(s) - medicine , catheter , complication , central venous catheter , perforation , cardiac tamponade , tamponade , surgery , ventricle , parenteral nutrition , silicon rubber , cardiology , punching , materials science , metallurgy , composite material
Fatal perforation of the right ventricular wall and pericardiac sac without presence of pericardiac tamponade by a central venous catheter is reported. The various events leading eventually to this catastrophic complication, such as malpositioning of the catheter tip, and its migration with the patient movements, are discussed. More frequent radiologic checks of the catheter tip, the use of silicon rubber catheters, and restriction of the patient's movements are recommended to avoid this fatal complication.