Arzu Gebeşçe, Esengül Keleş, Hamza Yazgan, İlyas Akdemir

Umbilikal ven kateterizasyondan sonra preterm bebekte perikardiyal efüzyon

Santral venöz kateterizasyon çok küçük prematüre bebekleri desteklemek için yenidoğan yoğun bakımünitelerinde yaygın olarak kullanılır. Perikardiyal effüzyon ve kardiyak tamponad perkutan,umbilikalveya cerrahi olarak yerleştirilen venöz kateterlerin nadir fakat fatal komplikasyonlarıdır.Bu durumkateterin başlangıçtaki intrakardiyak pozisyonuna veya daha sonra yer değiştirmesiyle ilişkilidir.Bu yazıda umbilikal venöz kateter yoluyla sıvı infüzyonu sonrası çok küçük prematüre infantta gelişenperkardiyal effüzyon vakası anlatılmıştır.Akciğer filminde masif kardiyomegali saptandı.Ekokardiyografide tamponad bulguları olmayan geniş perikardiyal effüzyon tespit edildi.Effüzyon kateterin çıkarılmasından ve inflamasyonu azaltmak için ibuprofen verilmesinden sonra genişölçüde düzeldi.Takip eden kardiyolojik muayenelerde anatomik ve fonksiyonel patoloji saptanmadı.

Anahtar Kelimeler:

Anahtar Sözcükler: umbilikal ven kateterizasyon, prematürite, perikardiyal efüzyon

Pericardial effusion in a preterm infant after venous umbilical catheterization

Central venous catheterization is widely used in neonatal intensive care units to support tiny pretermbabies.Pericardial effusion (PCE) and cardiac tamponade are uncommon but potentially fatalcomplications of percutaneous, umbilical or surgically placed central venous catheters. It is related toinitial intracardiac positioning or subsequent migration of the catheter. This report describes a case ofPCE in an extremely premature infant after infusion of fluids via umbilical venous catheter Massive cardiomegaly was noted on the subsequent chest X-Ray. Echocardiography revealed a largepericardial effusion without sings of tamponade. The effusion gradually resolved after removal of thecatheter and administration of ibuprofen to reduce inflamation. Following cardiac examinationsrevealed no functional or anatomical pathology.

Keywords:

umbilical venous catheterization, prematurite, pericardial effusion,

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