Massive pericardial effusion as a cause for sudden deterioration of a very low birthweight infant

Elaine C Wirrell, E. O. Pelausa, A. C. Allen, D. A. Stinson, B. D. Hanna

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

We describe the successful resuscitation of a very low birthweight infant after sudden deterioration caused by a massive pericardial effusion. The neonatal course of this 740 gm, 26-week gestational age infant had been complicated by moderate respiratory distress syndrome, apnea, and bronchopulmonary dysplasia. A Silastic catheter was placed percutaneously in the right axillary vein on day 6 of life and documented to be in the superior vena cava prior to continuous parenteral nutrition. On day 38, her cardiorespiratory status abruptly deteriorated, blood return could not be obtained from the central line, and it was removed. Chest radiograph and subsequent echocardiogram confirmed a massive pericardial effusion. Under echocardiographic guidance, an emergency percutaneous pericardiocentesis allowed aspiration of 23 ml of straw-colored fluid. Her vital signs immediately returned to normal and reaccumulation of the effusion did not occur. Despite the high mortality of premature infants from pericardial effusion as a complication of central venous catheterization early diagnosis and prompt therapy can assure a good outcome. As a cause of sudden deterioration of very low birthweight infants, tamponade must not be not be forgotten, since it is now a rapidly treatable complication of central venous cannulation.

Original languageEnglish (US)
Pages (from-to)419-423
Number of pages5
JournalAmerican Journal of Perinatology
Volume10
Issue number6
StatePublished - 1993
Externally publishedYes

Fingerprint

Pericardial Effusion
Axillary Vein
Central Venous Catheterization
Pericardiocentesis
Bronchopulmonary Dysplasia
Superior Vena Cava
Vital Signs
Parenteral Nutrition
Apnea
Premature Infants
Resuscitation
Catheterization
Gestational Age
Early Diagnosis
Emergencies
Thorax
Catheters
Mortality
Therapeutics

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Massive pericardial effusion as a cause for sudden deterioration of a very low birthweight infant. / Wirrell, Elaine C; Pelausa, E. O.; Allen, A. C.; Stinson, D. A.; Hanna, B. D.

In: American Journal of Perinatology, Vol. 10, No. 6, 1993, p. 419-423.

Research output: Contribution to journalArticle

Wirrell, Elaine C ; Pelausa, E. O. ; Allen, A. C. ; Stinson, D. A. ; Hanna, B. D. / Massive pericardial effusion as a cause for sudden deterioration of a very low birthweight infant. In: American Journal of Perinatology. 1993 ; Vol. 10, No. 6. pp. 419-423.
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