A case of atrial perforation by a subclavian vein catheter, which was inserted for total parenteral nutrition (TPN) is reported. Acute thoracic symptoms developed 3 days after the infusion was started. The diagnosis was correctly made by demonstrating contrast medium within the pericardial sac. The catheter was withdrawn and the patient recovered satisfactorily. The clinical picture and the differential diagnosis of this complication are discussed.
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References
1.
Brown CA, Kent A.: Perforation of right ventricle by polyethylene catheter. Southern Med J49:466-4671956
2.
Johnson CE: Perforation of right atrium by a polyethylene catheter. JAMA195:584-586, 1966
3.
Friedman BA, Jurgeleit C.: Perforation of atrium by polyethylene CV catheter. JAMA203:1141-1142, 1968
4.
Defalque RJ, Campbell C.: Cardiac tamponade from central venous catheters. Anesthesiology50:249-252. 1979
5.
Kuiper DH: Cardiac tamponade and death in a patient receiving total parenteral nutrition . JAMA230:877. 1974
6.
Altman RP, Randolph JG: Application and hazards of total parenteral nutrition in infantsAnn Surg174:85-90, 1971
7.
Mitchell SE, Clark RA: Complications of central venous catheterization. AJR133:467-476, 1979
8.
Langston CS: The aberrant central venous catheter and its complications. Radiology100:55-59, 1971
