第21巻 2025年8月　第3号

■症例報告

末梢挿入型中心静脈カテーテルにより心タンポナーデを発症した極低出生体重児の1例
秀野　公美¹, 島　義雄¹, 吉田　圭志¹, 鈴木　たまほ¹, 峯　牧子¹, 阿部　正徳¹, 右田　真^2
1日本医科大学武蔵小杉病院新生児科
²日本医科大学武蔵小杉病院小児科

Cardiac Tamponade after Peripherally Inserted Central Venous Catheter (PICC) Placement in a Very Low Birth Weight Infant ― A Case Report of Successful Resuscitation by Urgent Pericardiocentesis ―
Kumi Shuno¹, Yoshio Shima¹, Keishi Yoshida¹, Tamaho Suzuki¹, Makiko Mine¹, Masanori Abe¹ and Makoto Migita^2
1)Department of Neonatal Medicine, Nippon Medical School Musashi Kosugi Hospital
²⁾Department of Peidiatrics, Nippon Medical School Musashi Kosugi Hospital

We report a case of cardiac tamponade following the placement of a peripherally inserted central venous catheter (PICC) in a very low birth weight infant, successfully resuscitated by emergency pericardiocentesis. The female newborn, delivered at 29 weeks' gestation via operative delivery for placenta previa, weighed 1,191 g at birth. She required ventilatory support due to prematurity but was successfully weaned within a short period. On day 6 of life, she experienced sudden circulatory collapse due to massive pericardial effusion. Given that the episode occurred several hours after PICC insertion, cardiac tamponade was suspected. Rapid ultrasound assessment confirmed the diagnosis, and immediate pericardiocentesis successfully stabilized the infant, leading to an uneventful recovery. In preterm infants with a PICC, sudden unexplained circulatory collapse should prompt immediate ultrasound evaluation and intervention, as these are critical for successful resuscitation.

日医大医会誌 2025; 21(3), 270-273

Key words
cardiac tamponade, very low birth infant, pericardiocentesis, FAST (focused assessment with sonography for trauma)

Correspondence to
Yoshio Shima, Department of Neonatal Medicine, Nippon Medical School Musashi Kosugi Hospital, 1-383 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan
E-mail：shima-p@nms.ac.jp

受付：2025年3月14日　受理：2025年4月17日