Paediatric cardiac arrest during Hickman Line insertion

We report a case of four‐year‐old girl who suffered a cardiac arrest under anaesthesia, due to complete heart block without ventricular escape, during the flushing of an errantly placed longterm central venous catheter. It was subsequently found that the central line was placed in a persistent left...

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Bibliographic Details
Published in:Pediatric anesthesia 1997-01, Vol.7 (1), p.83-86
Main Authors: BASS, S.P., YOUNG, A.E.R.
Format: Article
Language:English
Subjects:
cardiac arrest
Catheterization, Central Venous - adverse effects
central venous line
Child, Preschool
Coronary Vessel Anomalies - diagnosis
Female
Heart Arrest - etiology
Humans
left superior vena cava
Vena Cava, Superior - abnormalities
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Summary:We report a case of four‐year‐old girl who suffered a cardiac arrest under anaesthesia, due to complete heart block without ventricular escape, during the flushing of an errantly placed longterm central venous catheter. It was subsequently found that the central line was placed in a persistent left superior vena cava (LSVC) draining directly into the coronary sinus. Diagnosis was suspected by a chest x‐ray and confirmed by two‐dimensional echocardiography. The patient made a complete recovery from the event and was discharged from hospital three days later.
ISSN:1155-5645
1460-9592
DOI:10.1046/j.1460-9592.1997.d01-29.x