Transient complete atrioventricular block after placement of a central venous catheter in a neonate
Constance E Cephus1, Antonio R Mott, Naomi J Kertesz
1Texas Children's Hospital, Lillie Frank Abercrombie Section of Pediatric Cardiology, Houston, TX, USA.
Objective:
We present a case of trauma-induced complete atrioventricular block (transient) after placement of a central venous catheter.
Design:
Case report.
Setting:
Neonatal intensive care unit in a tertiary care children's hospital.
Patient:
Review of the medical record and clinical course of a single premature infant.
Interventions:
Removal of central venous catheter, monitoring of the cardiac output exam, and serial monitoring of the arrhythmia profile.
Measurements And Main Results:
Trauma-induced complete atrioventricular block from placement of the central venous catheter resolved in 9 days, obviating the need for pacemaker placement.
Conclusions:
Complete atrioventricular block is an infrequent complication of central venous catheter placement and may require several days to resolve.
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