Key result
Umbilical venous catheterization in an extremely premature infant was associated with a large pericardial effusion that resolved after catheter removal and ibuprofen administration.
Case Report (n=1)
Highlights pericardial effusion as a potential complication of umbilical venous catheterization in preterm infants, which can resolve with catheter removal and medical management.
Pericardial effusion may complicate umbilical venous catheterization in extremely premature infants; single case leaves open questions on incidence and optimal management.
Central venous catheterization is widely used in neonatal intensive care units to support tiny pretermbabies.Pericardial effusion (PCE) and cardiac tamponade are uncommon but potentially fatalcomplications of percutaneous, umbilical or surgically placed central venous catheters. It is related toinitial intracardiac positioning or subsequent migration of the catheter. This report describes a case ofPCE in an extremely premature infant after infusion of fluids via umbilical venous catheter Massive cardiomegaly was noted on the subsequent chest X-Ray. Echocardiography revealed a largepericardial effusion without sings of tamponade. The effusion gradually resolved after removal of thecatheter and administration of ibuprofen to reduce inflamation. Following cardiac examinationsrevealed no functional or anatomical pathology.
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Gebeşçe et al. (2013) conducted a case report in Pericardial effusion (n=1). Umbilical venous catheterization was evaluated on Pericardial effusion. Umbilical venous catheterization in an extremely premature infant was associated with a large pericardial effusion that resolved after catheter removal and ibuprofen administration.
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