Cardiac tamponade secondary to perforation of innominate vein following central line insertion in a neonate

Abstract

Cardiac tamponade following central line in a neonate is rare and an uncommon situation; however, it is potentially reversible when it is diagnosed in time. We report a case of cardiac tamponade following central line insertion. A 10-day-old 2.2 kg girl operated for obstructed total anomalous pulmonary venous connections had neckline slipped out during extubation. Attempted cannulations of right femoral vein were unsuccessful. At the end of the left internal jugular vein cannulaton, there was a sudden cardiorespiratory arrest. Immediate transthoracic echocardiogram showed left pleural and pericardial collection. Chest was opened and the catheter tip was seen in the thoracic cavity after puncturing the innominate vein. The catheter was removed and the vent was repaired.

Massive hemothorax due to subclavian vein tear during internal jugular vein cannulation in a 15-year-old boy scheduled for mitral valve replacement

“…Most of the serious incidents involve the artery. [ 1 2 3 4 5 ] Injury to the right brachiocephalic vein[ 5 6 7 ] and SVC have been also been reported. This report described significant hemothorax due to subclavian vein injury during central venous cannulation prior to initiation of surgery, leading to hemodynamic decompensation while weaning from CPB.…”