Key result
Prompt pericardiocentesis resolves intraoperative cardiac tamponade from IV fluid extravasation in an infant.
Case Report (n=1)
Unexplained hemodynamic instability during central venous access in infants should prompt consideration of cardiac tamponade from fluid extravasation, which can be treated with pericardiocentesis.
Supports vigilance for tamponade with central access in neonatal CDH repair; leaves open systematic study of incidence and prevention.
Intraoperative cardiac tamponade is an exceptionally rare but life-threatening complication during congenital diaphragmatic hernia repair in infants. In this case, pericardial effusion from inadvertent intravenous fluid extravasation led to cardiovascular collapse. Prompt recognition and pericardiocentesis were lifesaving, emphasizing vigilance when unexplained hemodynamic instability occurs during central or jugular venous access.
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Karsalari et al. (2025) conducted a case report in Congenital diaphragmatic hernia complicated by intraoperative cardiac tamponade (n=1). Pericardiocentesis was evaluated on Survival from cardiovascular collapse. Prompt recognition and pericardiocentesis were lifesaving for an infant who developed intraoperative cardiac tamponade from inadvertent intravenous fluid extravasation during hernia repair.
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