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Fatal Cardiac Tamponade in a Patient Receiving Total Parenteral Nutrition Via a Silastic Central Venous Catheter
Author(s) -
Harford Francis J.,
Kleinsasser Jan
Publication year - 1984
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 - 10.1177/0148607184008004443
Subject(s) - silastic , medicine , cardiac tamponade , endocardium , catheter , central venous catheter , parenteral nutrition , tamponade , ventricle , autopsy , perforation , surgery , cardiology , punching , materials science , metallurgy
This is the first reported case of cardiac tamponade secondary to ventricular perforation involving a silastic catheter. The catheter had advanced into the right ventricle and become enmeshed in the trabeculae carnae. At autopsy there was an area of necrosis which we presumed was caused by the continuous direct contact of a small area of endocardium and subadjacent myocardium with the hypertonic infusate used for parenteral nutrition. ( Journal of Parenteral and Enteral Nutrition 8 :443–446, 1983)