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Cardiac Tamponade Caused by Pulmonary Artery Perforation after Central Venous Catheterization
Author(s) -
Hunt Lyle B.,
Olshansky Brian,
Hiratzka Loren F.
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 - 10.1177/0148607184008006711
Subject(s) - medicine , cardiac tamponade , cardiac catheterization , tamponade , pulmonary artery , perforation , central venous catheter , cardiology , surgery , catheter , punching , materials science , metallurgy
We report a case of pulmonary artery perforation with resultant cardiac tamponade after central venous catheterization and review six previously reported cases. Tamponade may be an acute or late complication and is usually associated with the effusion of intravenous fluid into the pericardium. Three cases actually occurred after catheterization through the “safer” peripheral venous access route (basilic vein). The diagnosis of perforation and tamponade as well as the treatment can be accomplished using the catheter. Recognition and appropriate treatment of this rare complication may avoid significant morbidity and mortality. (Journal of Parenteral and Enteral Nutrition 8:711–713, 1984)