A case of fatal cardiac tamponade during hemodialysis

A 27-year-old Hispanic man with a history of hypertension and end-stage renal disease for 4 years became unresponsive, apneic, and pulseless during hemodialysis. During his 4 year period on dialysis, vascular access had become increasingly difficult and ultimately a transhepatic catheter had been pl...

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Bibliographic Details
Published inSeminars in dialysis Vol. 19; no. 5; pp. 434 - 437
Main Authors Schmiege, 3rd, Lorenz M, Wolf, Dwayne A
Format Journal Article
LanguageEnglish
Published United States 01.09.2006
Subjects
Adult
Cardiac Tamponade - diagnosis
Cardiac Tamponade - etiology
Catheterization, Central Venous - adverse effects
Catheters, Indwelling - adverse effects
Fatal Outcome
Heart Atria - injuries
Hepatic Veins
Humans
Kidney Failure, Chronic - therapy
Male
Renal Dialysis
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Summary:A 27-year-old Hispanic man with a history of hypertension and end-stage renal disease for 4 years became unresponsive, apneic, and pulseless during hemodialysis. During his 4 year period on dialysis, vascular access had become increasingly difficult and ultimately a transhepatic catheter had been placed 9 months prior to this event. Resuscitation was unsuccessful. At autopsy, death was determined to be due to cardiac tamponade secondary to perforation of the right atrium by the transhepatic catheter. Cardiac tamponade is a rare cause of sudden death during hemodialysis with a long-standing catheter.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0894-0959
DOI:10.1111/j.1525-139X.2006.00200.x