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Updated: Aug 16, 2026

Anatomical Reconstructions of the Human Cardiac Venous System using Contrast-computed Tomography of Perfusion-fixed Specimens
Published on: April 18, 2013
Catheter-malposition-induced cardiac tamponade via contrast media leakage during computed tomography study
Chi-Di Liang1, Sheung-Fat Ko, Chien-Fu Huang
1Department of Pediatric Cardiology and Radiology, Chang Gung Children's Hospital, Kaohsiung, Taiwan. cdliang@adm.cgmh.org.tw
Abstract:
We present a rare case of a central venous catheter-malposition-induced life-threatening cardiac tamponade as a result of computed tomography (CT) with contrast enhancement in an infant with a ventricular septal defect and pulmonary atresia after a modified Blalock-Taussig shunt. The diagnosis was confirmed by chest radiographs and CT study with catheter perforation through the right atrial wall and extravasation of the contrast medium into the pericardium, leading to cardiac tamponade and subsequent circulatory collapse. Two hours after successful cardiopulmonary resuscitation, the patient gradually resumed normal hemodynamic status.
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