{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:40:46Z","timestamp":1791412846326,"version":"4.3.3"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>Cardiac tamponade caused by perforation of the cardiac wall is a rare complication related to central venous catheter (CVC) placement. A 71-year-old female with a previous history of moderate aortic stenosis and kidney transplantation was admitted to hospital due to global heart failure and worsening of allograft function. Intensified hemodialysis was commenced through a CVC placed in the right subclavian vein. Chest radiography revealed catheter tip in the right atrium and no signs of pneumothorax. Thorough diagnostics outruled immediate life-threatening conditions, such as myocardial infarction and pulmonary embolism. However, not previously seen, 2 cm thick pericardial effusion without repercussion on the blood flow was visualized during echocardiography, predominantly reclining the free surface of the right atrium, with fibrin scar tissue covering the epicardium \u2013 it was the spot of spontaneously recovered cardiac wall perforation. Follow-up echocardiogram performed before the discharge showed regression of the previously found pericardial effusion.<\/jats:p>","DOI":"10.4103\/sja.sja_365_17","type":"journal-article","created":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T01:07:11Z","timestamp":1515373631000},"page":"118-120","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Nonfatal cardiac perforation after central venous catheter insertion"],"prefix":"10.4103","volume":"12","author":[{"given":"Vedran","family":"Premuzic","sequence":"first","affiliation":[{"name":"Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea","family":"Katalinic","sequence":"additional","affiliation":[{"name":"Department for Nephrology, Arterial Hypertension, Dialysis and Transplantation, Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marijan","family":"Pasalic","sequence":"additional","affiliation":[{"name":"Cardiovascular Diseases, University Hospital Centre, Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hrvoje","family":"Jurin","sequence":"additional","affiliation":[{"name":"Cardiovascular Diseases, University Hospital Centre, Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250920","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1001\/archinte.1995.00430110149016","article-title":"Perforation of the great vessels during central venous line placement","volume":"155","author":"Robinson","year":"1995","journal-title":"Arch Intern Med"},{"key":"R2-20250920","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/S1055-3207(18)30433-2","article-title":"Central venous catheters. 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