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Soft J-tipped Guide Wire-induced Cardiac Perforation in a Patient with Right Ventricular Lipomatosis and Wall Thinning
- Source :
- Internal Medicine. 51:2609-2612
- Publication Year :
- 2012
- Publisher :
- Japanese Society of Internal Medicine, 2012.
-
Abstract
- Cardiac tamponade caused by perforation is a rare but potentially lethal complication of central venous catheter (CVC) insertion. We herein report a case of cardiac perforation associated with the use of a soft J-tipped guide wire. Twenty minutes after the insertion of a CVC, the patient developed unexpected cardiac arrest. An autopsy revealed 400 mL of pericardial blood. The right ventricular wall was 1 mm thick with about 10 myocyte layers, which is one-third that of the normal heart. A histological analysis revealed widespread fatty infiltration of the right ventricular wall (right ventricular lipomatosis).
- Subjects :
- Male
medicine.medical_specialty
Lymphoma
Heart Ventricles
Lipomatosis
medicine.medical_treatment
Perforation (oil well)
Antineoplastic Agents
Autopsy
Fatal Outcome
Internal medicine
Cardiac Perforation
Cardiac tamponade
Internal Medicine
medicine
Central Venous Catheters
Humans
Aged
business.industry
General Medicine
medicine.disease
Heart Arrest
Surgery
Heart Injuries
cardiovascular system
Cardiology
Fatty infiltration
Complication
business
Central venous catheter
Subjects
Details
- ISSN :
- 13497235 and 09182918
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....60724d954d49ab9e51a6fd788db69a56