Perinatology.  2022 Dec;33(4):196-200. 10.14734/PN.2022.33.4.196.

Umbilical Venous Catheter Related Cardiac Tamponade in an Extremely Low Birth Weight Infant: A Case Report

• Kim SH
• Choi EK
• Park KH
• Shin HJ
• Jang GY
• Choi BM

• KMID: 2537724
• DOI: http://doi.org/10.14734/PN.2022.33.4.196

Abstract

Umbilical venous catheters (UVCs) are frequently used in extremely low birth weight (ELBW) infants for intravenous access. It is important to position correctly to prevent complications, including arrhy thmia, pleural effusion, pericardial effusion, and cardiac tamponade. Pericardial effusion remains asymptomatic in the early stages and cardiac tamponade suddenly appears as a cardiac arrest. The authors report a case of successful management of malpositioned UVC-related cardiac tamponade in an ELBW infant with 23 weeks 5 days of gestation and 688 g of birth weight. He was resuscitated successfully after emergency pericardiocentesis and prompt removal of catheter. To our knowledge, it is the youngest survived case complicated by UVC-related cardiac tamponade reported in the litera ture. Our case confirms the necessity of the placement at a correct position of a UVC after its insertion and pericardial effusion should be suspected in sick infants with UVCs and progressive cardiomegaly. A timely diagnosis with echocardiography and pericardiocentesis may prove life-saving.

Keyword

Cardiac tamponade; Pericardiocentesis; Central venous catheters; Extremely low birth weight infant