Skip Navigation LinksHome > March 2014 - Volume 35 - Issue 1 > Fatal Cardiac Tamponade Associated With Central Venous Cathe...
American Journal of Forensic Medicine & Pathology:
doi: 10.1097/PAF.0000000000000084
Case Reports

Fatal Cardiac Tamponade Associated With Central Venous Catheter: A Report of 2 Cases Diagnosed in Autopsy

dos Santos Modelli, Manoel Eugenio PhD; Cavalcanti, Felipe Barbosa MD

Collapse Box


Abstract: The authors present 2 cases of fatal cardiac tamponade associated with the insertion of a central venous catheter. The first case occurred soon after the insertion of the catheter (early complication), and the second case, 4 days after (late complication). In both cases, the post–catheter insertion check chest x-ray film showed the tip of the catheter located within the heart silhouette. The diagnosis of cardiac tamponade was made only during the cadaverous examination. In the first case, the catheter was found to be in the right internal jugular vein at autopsy. The postmortem examination showed a clear liquid inside the pericardial cavity and the inferior vena cava injury. In the second case, the catheter had been inserted via the right subclavian vein puncture and there was a perforation of the right atrium at autopsy. The child was using total parenteral nutrition, and the intrapericardial liquid was milky. The incorrect placement of the catheter tip and unrecognized complications led the 2 children to death.

© 2014 by Lippincott Williams & Wilkins.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.