en جراحی قلب Heart Surgery گزارش مورد Case Report <p style="text-align: justify;"><span style="line-height:2;"><span style="font-family:Tahoma;"><span style="font-size:12px;"><span style="background:white"><span style="color:black">The insertion of a central venous catheter (CVC) is a necessary procedure prior to pediatric cardiac surgery. Although CVC insertion is generally safe, the occurrence of complications, while infrequent, can include the rare combination of pneumothorax and hemothorax. This study reports a rare case of concurrent pneumothorax and hemothorax in a 5-year-old child with cardiac arrest after induction of anesthesia. A 5-year-old patient, eligible for either the Fontan procedure, suffered a cardiac arrest following CVC insertion. An echocardiogram, performed immediately, ruled out cardiac tamponade. However, the presence of both hemothorax and pneumothorax necessitated the insertion of a pigtail catheter and chest tube.&nbsp;In pediatric patients requiring CVC via the subclavian vein, it is prudent to establish peripheral venous access a priori. This precautionary measure ensures the availability of a conduit for fluid resuscitation, should the need arise.</span></span></span></span></span><span style="font-family:Tahoma;"><span style="font-size:12px;"><span style="line-height:115%"><span style="background:white"><span style="line-height:115%"><span style="font-family:"Calibri",sans-serif"></span></span></span></span></span></span></p> Central Venous Catheter (CVC), Heart Arrest, Hemothorax, Pneumothorax 39 41 http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-466-1&slc_lang=en&sid=1 Amirhossein Jalali jalaliamirhosein@rhc.ac.ir 100319475328460010822 100319475328460010822 No Department of Cardiovascular Surgery, Division of Congenital Cardiac Surgery, Rajaie Cardiovascular Medical and Research Institute, Iran University of Medical Science, Tehran, Iran Mohammad Mahdavi md.niaki.rhc@gmail.com 100319475328460010823 100319475328460010823 No Department of Cardiovascular Surgery, Division of Congenital Cardiac Surgery, Rajaie Cardiovascular Medical and Research Institute, Iran University of Medical Science, Tehran, Iran Zahra Ansari Aval Zahraansariaval@gmail.com 100319475328460010824 100319475328460010824 Yes Rajaie Cardiovascular Medical and Research Institute, Iran University of Medical Science, Tehran, Iran