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Year : 2022  |  Volume : 6  |  Issue : 2  |  Page : 58-60

Thoracoscopy and fluoroscopy assisted broviac central line insertion utilizing bedside echocardiogram to prevent cardiac tamponade

1 Department of Pediatric Critical Care, King Fahad Medical City, Riyadh, Saudi Arabia
2 Department of Pediatric Surgery, King Fahad Medical City, Riyadh, Saudi Arabia

Correspondence Address:
Muhammed Nishil Aboo
Department of Pediatric Critical Care, King Fahad Medical City, P O BOX: 59046, Riyadh 11525
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sccj.sccj_8_21

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Prolonged and multiple requirements of central venous catheters in some patients gradually make access to the central vein problematic due to possible formation of obstructive thrombi. Here, we describe a case of chronic intestinal failure and difficult access of central vein, where cardiac tamponade (CT) developed even after thoracoscopy and fluoroscopy-guided insertion of a Broviac catheter. This report points out the importance of a postprocedural echocardiogram after central venous line placement in difficult cases to detect fatal complications such as CT.

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