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KMID : 1039920220290040135
Neonatal Medicine
2022 Volume.29 No. 4 p.135 ~ p.140
Rapidly Progressive Pericardial Effusion and Cardiac Tamponade in a Term Infant with an Umbilical Venous Catheter: A Case Report
Park Min-Jung

Ahn Ja-Hye
Lee Hyun-Ju
Park Hyun-Kyung
Hwang Jae-Kyoon
Kim Chang-Ryul
Na Jae-Yoon
Abstract
Pericardial effusion (PCE) in neonates has various clinical presentations depending on the amount and speed of fluid accumulation and can cause cardiac tamponade (CT). We report a case of rapidly accumulating PCE and near-fatal CT with an umbilical venous catheter successfully resolved by emergent echo-guided pericardiocentesis in a term infant who had been hospitalized with meconium aspiration syndrome and persistent pulmonary hypertension. This case report suggests that if a patient with an intracardiac umbilical catheter shows sudden cardiopulmonary instability, the possibility of PCE and CT should be considered. Furthermore, if necessary, emergency drainage of the PCE and removal of the umbilical catheter should be immediately performed.
KEYWORD
Pericardial effusion, Cardiac tamponade, Central venous catheters
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