Am J Perinatol 2005; 22(5): 275-277
DOI: 10.1055/s-2005-870898
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Atrial Flutter Following Placement of an Umbilical Venous Catheter

Anuj Sinha1 , Caraciolo J. Fernandes1 , Jeffrey J. Kim1 , Arnold L. Fenrich1  Jr , Josephine Enciso1
  • 1Department of Pediatrics, Baylor College of Medicine, Houston, Texas
Further Information

Publication History

Publication Date:
15 June 2005 (online)

ABSTRACT

Atrial flutter is a rare complication of the insertion of an umbilical venous catheter. We report a neonate who had an umbilical venous catheter placed within the first 24 hours of life and developed a hemodynamically stable tachyarrhythmia. The arrhythmia was successfully managed with synchronized cardioversion, with no further complications. The presentation and management are discussed. Physicians should be watchful for such potentially life-threatening complications from the placement of indwelling lines.

REFERENCES

  • 1 Casey F A, McCrindle B W, Hamilton R M, Gow R M. Neonatal atrial flutter: significant early morbidity and excellent long-term prognosis.  Am Heart J. 1997;  133 302-306
  • 2 Leroy V, Belin V, Farnoux C et al.. [A case of atrial flutter after umbilical venous catheterization].  Arch Pediatr. 2002;  9 147-150
  • 3 Garson A. The Science and Practice of Pediatric Cardiology. 2nd ed. Baltimore; Williams & Wilkins 1997
  • 4 Van Hare G F. Neonatal arrhythmias. In: Fanaroff AA, Martin RJ Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant. 7th ed. St. Louis; Mosby 2002: 1159-1160
  • 5 Brockmeier K, Ulmer H E, Hessling G. Termination of atrial reentrant tachycardias by using transesophageal atrial pacing.  J Electrocardiol. 2002;  35(suppl) 159-163
  • 6 Gimovsky M L, Nazir M, Hashemi E, Polcaro J. Fetal/neonatal supraventricular tachycardia.  J Perinatol. 2004;  24 191-193
  • 7 Rhodes L A, Walsh E P, Saul J P. Conversion of atrial flutter in pediatric patients by transesophageal atrial pacing: a safe, effective, minimally invasive procedure.  Am Heart J. 1995;  130 323-327
  • 8 Drago F, Mazza A, Garibaldi S, Mafrici A, Santilli A, Ragonese P. Isolated neonatal atrial flutter: clinical features, prognosis and therapy.  G Ital Cardiol. 1998;  28 365-368
  • 9 Luedtke S A, Kuhn R J, McCaffrey F M. Pharmacologic management of supraventricular tachycardias in children. Part 2: atrial flutter, atrial fibrillation, and junctional and atrial ectopic tachycardia.  Ann Pharmacother. 1997;  31 1347-1359
  • 10 Dunnigan A, Benson Jr W, Benditt D G. Atrial flutter in infancy: diagnosis, clinical features, and treatment.  Pediatrics. 1985;  75 725-729

Anuj SinhaD.O. 

Section of Neonatology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital

6621 Fannin, WT: MC-06104, Houston, TX 77030