Key result
Attempted placement of a right jugular venous catheter in an 8-month-old child with congenital heart disease resulted in the development of Horner syndrome.
Case Report (n=1)
Attempted internal jugular venous catheter placement can result in Horner syndrome in pediatric patients.
Horner syndrome may complicate attempted jugular access in infants; extends limited reports of this rare iatrogenic complication in congenital heart disease.
Horner syndrome results from interruption of the normal sympathetic innervation to the face and eye. Common clinical manifestations include ptosis, miosis, anhidrosis, conjunctival injection and relative enophthalmos. Several diverse etiologies may be responsible for Horner syndrome. We present an 8-month-old child who was noted to have Horner syndrome following attempts at placement of a right jugular venous catheter. The normal sympathetic innervation of the head and eye are presented, potential etiologies for Horner syndrome are reviewed and previous reports of Horner syndrome following invasive procedures are presented. J Med Cases. 2014;5(6):369-372 doi: http://dx.doi.org/10.14740/jmc1795w
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Tobias et al. (2014) conducted a case report in Horner syndrome (n=1). Attempted internal jugular catheter placement was evaluated on Development of Horner syndrome. Attempted placement of a right jugular venous catheter in an 8-month-old child with congenital heart disease resulted in the development of Horner syndrome.
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