Cardiac tamponade in pregnancy during central hyperalimentation.

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 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.