Key result
Umbilical venous catheter use linked to fatal cardiac tamponade in a premature neonate.
Why the study?
Cardiac tamponade is a potential complication in neonates with central venous catheters that may be caused by infection, catheter-related complications, or parenteral nutrition effusion.
Case Report (n=1)
Cardiac tamponade due to parenteral nutrition effusion from a central venous catheter is a rare but fatal complication in premature neonates.
Alerts clinicians to tamponade risk with umbilical venous catheters in preterm neonates; leaves open optimal prevention strategies.
BACKGROUND: Cardiac tamponade is a potential complication in neonates with central venous catheters (CVC). Cardiac tamponade may be due to infection, a CVC related complication, or parental nutrition (PN) effusion. CASE REPORT: This is a preterm (30 weeks gestational age), very low birth weight male, admitted to the Neonatal Intensive Care Unit, requiring nasal continuous positive airway pressure. PN was provided via an umbilical venous catheter. An unexpected cardiac arrest occurred on the third day of life with an unsuccessful resuscitation. Autopsy revealed pericardial effusion composed of PN fluid with cardiac tamponade as the cause of death. CONCLUSION: Cardiac tamponade due to total PN effusion in the premature neonate may be fatal. The mechanism of the epicardial/pericardial effusion is not known.
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Marques et al. (2021) conducted a case report in Cardiac tamponade (n=1). Umbilical venous catheter for parenteral nutrition was evaluated on Death. Parenteral nutrition via an umbilical venous catheter caused a fatal cardiac tamponade in a premature neonate on the third day of life.
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