Transient complete atrioventricular block after placement of a central venous catheter in a neonate

Pediatr Crit Care Med. 2007 Jan;8(1):64-6. doi: 10.1097/01.pcc.0000256618.78382.da.

Abstract

Objective: We present a case of trauma-induced complete atrioventricular block (transient) after placement of a central venous catheter.

Design: Case report.

Setting: Neonatal intensive care unit in a tertiary care children's hospital.

Patient: Review of the medical record and clinical course of a single premature infant.

Interventions: Removal of central venous catheter, monitoring of the cardiac output exam, and serial monitoring of the arrhythmia profile.

Measurements and main results: Trauma-induced complete atrioventricular block from placement of the central venous catheter resolved in 9 days, obviating the need for pacemaker placement.

Conclusions: Complete atrioventricular block is an infrequent complication of central venous catheter placement and may require several days to resolve.

Publication types

  • Case Reports

MeSH terms

  • Apgar Score
  • Catheterization, Central Venous / adverse effects*
  • Electrocardiography
  • Follow-Up Studies
  • Heart Block / diagnosis
  • Heart Block / etiology*
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal
  • Male
  • Time Factors