Total parenteral alimentation (TPA) in infants has become a routine therapeutic procedure in pediatric centers. In addition to meticulous care of the metabolic needs of a patient receiving this therapy, it is important to monitor the integrity and function of the central venous catheter delivering the alimentation.
A recent situation occurred in which, at the time therapy was discontinued and the catheter removed, a distal fragment of the catheter became unattached and remained in the heart. We report the successful nonsurgical removal of the intracardiac fragment.
Report of a Case.—An infant 2 months 3 weeks old was admitted to the hospital with dehydration secondary to severe diarrhea. After rehydration and a period of restricting oral feedings, the baby was unable to tolerate resumption of oral intake, and total parenteral alimentation was begun. The tip of a central venous Silastic catheter was placed in the right atrium via surgical entrance
PINSKY WW, MULLINS CE, BRICKER T, PARK IS, MCNAMARA DG, ABERCROMBIE LF. Nonsurgical Removal of Severed Central Venous Line in an Infant. Am J Dis Child. 1981;135(12):1143–1144. doi:10.1001/archpedi.1981.02130360047018