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Obstetrics & Gynecology 1989;73:465-466
© 1989 by The American College of Obstetricians and Gynecologists
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CARDIAC TAMPONADE IN PREGNANCY DURING CENTRAL HYPERALIMENTATION

Jeffrey S. Greenspoon, MD, Damon I. Masaki, MD and Carol R. Kurz, MD

From the Department of Obstetrics and Cynccology, University of Southern California School of Medicine, Los Angeles County—University of Southern California Medical Center, Women's Hospital, Los Angeles, California

Abstract

Cardiac tamponade from central venous catheterization occurs in less than 1% of cases. This report describes the first case of cardiac tamponade associated with total parenteral nutrition during pregnancy. Cardiac tamponade with subsequent cardiac arrest occurred on the seventh day of central hyperalimentation for hyperemesis gravidarum. Maternal cardiopulmonary resuscitation was accomplished after pericardiocentesis, but maternal brain death and fetal death occurred. Diagnostic and therapeutic issues unique to cardiac tamponade during pregnancy are discussed. (Obstet Gynecol 73:465, 1989)






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