A 69-year-old female with dyspnoea and hypotension after central venous catheter insertion in right subclavian vein. Computed tomography revealed contrast (injected through central venous catheter) in the pericardial sac (A). Central venous catheter was visualized coming out of cardiac apex after emergency sternotomy (B). Mattress sutures were performed (C) and central venous catheter was removed (D).