[Tamponade due to pericardial perfusion. A peranesthetic complication in a child]

This report describes a case of fatal peroperative cardiac tamponade in a 5-year-old boy. It was the consequence of myocardial perforation by a polyethylene central venous catheter and intrapericardial infusion. In case of peroperative unexplained cardiovascular collapse, repeat check of the position of the central venous catheter is mandatory.