CASE HISTORY – March 2025

Sudden onset of shock in a newborn turns out to be cardiac tamponade caused by a peripherally inserted central venous catheter: a case report with management recommendations

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Abstract

Peripherally inserted central catheters (PICC) are widely used in the treatment of premature newborns. Cardiac tamponade is an extremely rare but serious complication of this procedure with a high mortality rate without timely diagnosis and treatment. However, correct diagnosis and management bring high success rates. The article describes a case of cardiac tamponade in a premature newborn and successful management. This article focuses on potential early signs of the condition and emphasizes remaining vigilant when monitoring a patient with a PICC line, in order to recognize the early symptoms of cardiac tamponade and suggest treatment of the condition in case of sudden deterioration.