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SM Journal of Anesthesia

From ‘Port’ to ‘Life Support’-A Case Report and Review of Cardiac Tamponade during Port Placement

[ ISSN : 3068-0891 ]

Abstract
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Received: 14-Apr-2017

Accepted: 27-Apr-2017

Published: 02-May-2017

Case Report | Volume 3 - Issue 1 | Article DOI :

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Matthew Kynes J¹*, Amanda Lorinc¹, Suanne Daves¹, Laura Pettibon¹, Thomas Doyle², Walter Morgan³, and Syamal D Bhattacharya³

¹Department of Anesthesiology, Vanderbilt University Medical Center, USA
²Department of Pediatric Cardiology, Vanderbilt University Medical Center, USA
³Department of Pediatric Surgery, Vanderbilt University Medical Center, USA

Corresponding Author:

Matthew J Kynes, Department of Anesthesiology, Division of Pediatric Anesthesiology, Monroe Carell Jr. Children’s Hospital at Vanderbilt University, 2200 Children’s Way, Suite 3115, Nashville, Tennessee. 37232, USA; Tel: 615-322-5500; E-mail: j.matt. kynes@vanderbilt.edu

Abstract

A 6 month old patient with multiple congenital anomalies and adrenal neuroblastoma with hepatic metastasis underwent subclavian port placement under general anesthesia. During routine placement of the device into the vessel the patient developed acute hypotension progressing to bradycardic arrest due to cardiac tamponade. Hemodynamic compromise resolved immediately after pericardiocentesis and placement of a pericardial drain. This rare complication of central access placement should be considered with hemodynamic changes during these procedures.

Citation

Kynes M J, Lorinc A, Daves S, Pettibon L, Doyle T, Morgan W, et al. From ‘Port’ to ‘Life Support’-A Case Report and Review of Cardiac Tamponade during Port Placement. SM J Anesth. 2017; 3(1): 1008.