Nonfatal cardiac perforation after central venous catheter insertion :Vedran Premuzic, Lea Katalinic, Marijan Pasalic, Hrvoje Jurin, Saudi Journal of Anaesthesia

CASE REPORT
Year : 2018 | Volume : 12 | Issue : 1 | Page : 118--120

Nonfatal cardiac perforation after central venous catheter insertion

Vedran Premuzic¹, Lea Katalinic¹, Marijan Pasalic², Hrvoje Jurin²
¹ Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia
² Cardiovascular Diseases, University Hospital Centre, Zagreb, Croatia

Correspondence Address:
Dr. Vedran Premuzic
12, Kispaticeva Street, Zagreb 10000
Croatia

Cardiac tamponade caused by perforation of the cardiac wall is a rare complication related to central venous catheter (CVC) placement. A 71-year-old female with a previous history of moderate aortic stenosis and kidney transplantation was admitted to hospital due to global heart failure and worsening of allograft function. Intensified hemodialysis was commenced through a CVC placed in the right subclavian vein. Chest radiography revealed catheter tip in the right atrium and no signs of pneumothorax. Thorough diagnostics outruled immediate life-threatening conditions, such as myocardial infarction and pulmonary embolism. However, not previously seen, 2 cm thick pericardial effusion without repercussion on the blood flow was visualized during echocardiography, predominantly reclining the free surface of the right atrium, with fibrin scar tissue covering the epicardium – it was the spot of spontaneously recovered cardiac wall perforation. Follow-up echocardiogram performed before the discharge showed regression of the previously found pericardial effusion.

How to cite this article:
Premuzic V, Katalinic L, Pasalic M, Jurin H. Nonfatal cardiac perforation after central venous catheter insertion.Saudi J Anaesth 2018;12:118-120

How to cite this URL:
Premuzic V, Katalinic L, Pasalic M, Jurin H. Nonfatal cardiac perforation after central venous catheter insertion. Saudi J Anaesth [serial online] 2018 [cited 2023 Mar 25 ];12:118-120
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2018;volume=12;issue=1;spage=118;epage=120;aulast=Premuzic;type=0