Supraventricular tachycardia induced by central venous catheter in a newborn

Authors

  • Mariana Portela Department of Pediatrics, Hospital de Braga https://orcid.org/0000-0002-3297-9431
  • Lídia Leite Department of Pediatrics, Hospital de Braga
  • Sofia Granja Department of Pediatric Cardiology, Centro Hospitalar Universitário de São João
  • Filipa Raposo Department of Pediatrics, Hospital de Braga; Neonatal Intensive Care Unit, Hospital de Braga https://orcid.org/0000-0003-2417-8594
  • Almerinda Barroso Department of Pediatrics, Hospital de Braga; Neonatal Intensive Care Unit, Hospital de Braga
  • Clara Machado Department of Pediatrics, Hospital de Braga; Neonatal Intensive Care Unit, Hospital de Braga https://orcid.org/0000-0002-0784-3647

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v31.i2.21850

Keywords:

central venous catheter, hemolytic disease of newborn, supraventricular tachycardia, tachyarrhythmia

Abstract

Introduction: Central venous catheter (CVC) is an important tool in newborn care in the Neonatal Intensive Care Unit. Complications related to CVC placement, such as tachyarrhythmia, are most often due to malposition.
Case report: Herein is reported the case of a preterm neonate who developed supraventricular tachycardia after insertion of an umbilical venous catheter (UVC). The UVC was pulled out, but reestablishment of the sinus rhythm required adenosine administration.
Discussion: Despite being rare in preterm newborns, tachyarrhythmia is a well-known complication of catheter malposition, mostly caused by low anatomic accuracy associated with the small size of the heart.
Conclusion: In cases of tachyarrhythmia in newborns, it is mandatory not only to review the CVC position within the heart but also to rapidly diagnose the type of arrhythmia, avoiding more severe complications.

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References

Amer A, Broadbent RS, Edmonds L, Wheeler BJ. Central venous catheter-related tachycardia in the newborn: Case report and literature review. Case Rep Med. 2016;2016:1–4.

Sheta A, Al-Awad E, Soraisham A. Supraventricular tachycardia associated with umbilical venous catheterization in neonates. J Clin Neonatol. 2018;7(3):166.

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Adenosine. In: NeoFax. Greenwood Village (CO): IBM Corporation; 2020 [cited 2020 Dec]. Available from: http://www.micromedexsolutions.com. Subscription required to view.

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Published

2022-06-30

How to Cite

1.
Portela M, Leite L, Granja S, Raposo F, Barroso A, Machado C. Supraventricular tachycardia induced by central venous catheter in a newborn. BGMJ [Internet]. 2022 Jun. 30 [cited 2025 Dec. 10];31(2):153-5. Available from: https://revistas.rcaap.pt/bgmj/article/view/21850

Issue

Vol. 31 No. 2 (2022)

Section

Clinical Case Reports

License

Copyright (c) 2022 Mariana Portela, Lídia Leite, Sofia Granja, Filipa Raposo, Almerinda Barroso, Clara Machado

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