Fatal iatrogenic cardiac tamponade due to central venous catheterization

• Tipo: Artigo em Revista Científica Internacional
• Data: 2022

Autores

Valente Aguiar, MS (Autor) Outra; de Carvalho, ER (Autor) Outra; Magalhaes, T (Autor) Outra; Ricardo Jorge Dinis Oliveira (Autor) FMUP

Revista

Título: Forensic Science, Medicine, and Pathology

Vol. 18

Páginas: 275-279

ISSN: 1547-769X

Editora: Springer Nature

Indexação

ISI Web of Knowledge - 0 Citações

Scopus - 0 Citações

Outras Informações

ID Authenticus: P-00W-RV5

DOI: 10.1007/s12024-022-00491-4

Abstract (EN): Fatal adverse events caused by any health professional as consequence of malpractice are uncommon. In this work, the authors report a fatal cardiac tamponade associated with a peripherally inserted central catheter (PICC) by the right jugular vein that perforated the right atrium of the heart. The diagnosis of cardiac tamponade was not detected in hospital during the intrapericardial infusion of total parenteral nutrition and was only registered during the autopsy. The postmortem examination showed a milky liquid inside the pericardial cavity compatible with the total parenteral nutrition administered. The catheter in its migration in the cardiac chambers, mechanically perforated the inner wall of the endocardium between the trabeculae carneae, continued its course between the myocardial fibers until it was externalized. In conclusion, cardiac tamponade, although it is an extremely rare medical complication, has a high risk of fatality specially if peripheral rather than central veins were cannulated.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 5