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Neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter

OBJECTIVE: To describe a case of neonatal atrial flutter after the insertion of an intracardiac umbilical venous catheter, reporting the clinical presentation and reviewing the literature on this subject. CASE DESCRIPTION: A late-preterm newborn, born at 35 weeks of gestational age to a diabetic mot...

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Autores principales: de Almeida, Marcos Moura, Tavares, Wládia Gislaynne de Sousa, Furtado, Maria Mônica Alencar Araripe, Fontenele, Maria Marcia Farias Trajano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade de Pediatria de São Paulo 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795732/
https://www.ncbi.nlm.nih.gov/pubmed/26525686
http://dx.doi.org/10.1016/j.rppede.2015.10.002
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author de Almeida, Marcos Moura
Tavares, Wládia Gislaynne de Sousa
Furtado, Maria Mônica Alencar Araripe
Fontenele, Maria Marcia Farias Trajano
author_facet de Almeida, Marcos Moura
Tavares, Wládia Gislaynne de Sousa
Furtado, Maria Mônica Alencar Araripe
Fontenele, Maria Marcia Farias Trajano
author_sort de Almeida, Marcos Moura
collection PubMed
description OBJECTIVE: To describe a case of neonatal atrial flutter after the insertion of an intracardiac umbilical venous catheter, reporting the clinical presentation and reviewing the literature on this subject. CASE DESCRIPTION: A late-preterm newborn, born at 35 weeks of gestational age to a diabetic mother and large for gestational age, with respiratory distress and rule-out sepsis, required an umbilical venous access. After the insertion of the umbilical venous catheter, the patient presented with tachycardia. Chest radiography showed that the catheter was placed in the position that corresponds to the left atrium, and traction was applied. The patient persisted with tachycardia, and an electrocardiogram showed atrial flutter. As the patient was hemodynamically unstable, electric cardioversion was successfully applied. COMMENTS: The association between atrial arrhythmias and misplaced umbilical catheters has been described in the literature, but in this case, it is noteworthy that the patient was an infant born to a diabetic mother, which consists in another risk factor for heart arrhythmias. Isolated atrial flutter is a rare tachyarrhythmia in the neonatal period and its identification is essential to establish early treatment and prevent systemic complications and even death.
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spelling pubmed-47957322016-04-01 Neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter de Almeida, Marcos Moura Tavares, Wládia Gislaynne de Sousa Furtado, Maria Mônica Alencar Araripe Fontenele, Maria Marcia Farias Trajano Rev Paul Pediatr Case Report OBJECTIVE: To describe a case of neonatal atrial flutter after the insertion of an intracardiac umbilical venous catheter, reporting the clinical presentation and reviewing the literature on this subject. CASE DESCRIPTION: A late-preterm newborn, born at 35 weeks of gestational age to a diabetic mother and large for gestational age, with respiratory distress and rule-out sepsis, required an umbilical venous access. After the insertion of the umbilical venous catheter, the patient presented with tachycardia. Chest radiography showed that the catheter was placed in the position that corresponds to the left atrium, and traction was applied. The patient persisted with tachycardia, and an electrocardiogram showed atrial flutter. As the patient was hemodynamically unstable, electric cardioversion was successfully applied. COMMENTS: The association between atrial arrhythmias and misplaced umbilical catheters has been described in the literature, but in this case, it is noteworthy that the patient was an infant born to a diabetic mother, which consists in another risk factor for heart arrhythmias. Isolated atrial flutter is a rare tachyarrhythmia in the neonatal period and its identification is essential to establish early treatment and prevent systemic complications and even death. Sociedade de Pediatria de São Paulo 2016 /pmc/articles/PMC4795732/ /pubmed/26525686 http://dx.doi.org/10.1016/j.rppede.2015.10.002 Text en © 2015 Sociedade de Pediatria de São Paulo. Published by Elsevier Editora Ltda http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
de Almeida, Marcos Moura
Tavares, Wládia Gislaynne de Sousa
Furtado, Maria Mônica Alencar Araripe
Fontenele, Maria Marcia Farias Trajano
Neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter
title Neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter
title_full Neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter
title_fullStr Neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter
title_full_unstemmed Neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter
title_short Neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter
title_sort neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795732/
https://www.ncbi.nlm.nih.gov/pubmed/26525686
http://dx.doi.org/10.1016/j.rppede.2015.10.002
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