Low Cardiac Output Secondary to a Malpositioned Umbilical Venous Catheter: Value of Targeted Neonatal Echocardiography

Dany E Weisz; Wei Bing Poon; Andrew James; Patrick J McNamara

doi:10.1055/s-0034-1368090

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Low Cardiac Output Secondary to a Malpositioned Umbilical Venous Catheter: Value of Targeted Neonatal Echocardiography

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Low Cardiac Output Secondary to a Malpositioned Umbilical Venous Catheter: Value of Targeted Neonatal Echocardiography

Dany E Weisz, Wei Bing Poon, Andrew James and Patrick J McNamara

American journal of perinatology reports, Vol.4(1), pp.23-28

05/2014

DOI: 10.1055/s-0034-1368090

PMCID: PMC4078164

PMID: 25032055

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Abstract

Systemic hypotension is common in very low birthweight preterm infants but the nature of the precipitating cause may be unclear. Targeted neonatal echocardiography (TnEcho) is being increasingly used to support hemodynamic decisions in the neonatal intensive care unit (NICU), including identifying impairments in the transitional circulation of preterm infants, providing timely re-evaluation after institution of therapies and evaluating the placement of indwelling catheters. We present a case of a preterm infant with systemic hypotension and low cardiac output secondary to a large transatrial shunt induced by a malpositioned umbilical venous catheter. Repositioning of the line led to resolution of the hemodynamic disturbance and clinical instability, highlighting the utility of TnEcho in the NICU.

umbilical venous catheter

targeted neonatal echocardiography

atrial septal defect

low cardiac output

Details

Title: Subtitle: Low Cardiac Output Secondary to a Malpositioned Umbilical Venous Catheter: Value of Targeted Neonatal Echocardiography
Creators: Dany E Weisz - Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada
Wei Bing Poon - Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada
Andrew James - Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada
Patrick J McNamara - Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada
Resource Type: Journal article
Publication Details: American journal of perinatology reports, Vol.4(1), pp.23-28
DOI: 10.1055/s-0034-1368090
PMID: 25032055
PMCID: PMC4078164
NLM abbreviation: AJP Rep
ISSN: 2157-6998
eISSN: 2157-7005
Publisher: Thieme Medical Publishers
Language: English
Date published: 05/2014
Academic Unit: Stead Family Department of Pediatrics; Neonatology; Internal Medicine
Record Identifier: 9984093486802771

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