Korean J Thorac Cardiovasc Surg.
2013 Jun;46(3):223-225. 10.5090/kjtcs.2013.46.3.223.
Iatrogenic Perforation of the Left Ventricle during Insertion of a Chest Drain
- Affiliations
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- 1Department of Internal Medicine, Dankook University College of Medicine, Korea.
- 2Department of Thoracic Surgery, Dankook University College of Medicine, Korea. pwseo@dankook.ac.kr
- KMID: 1427796
- DOI: http://doi.org/10.5090/kjtcs.2013.46.3.223
Abstract
- Chest draining is a common procedure for treating pleural effusion. Perforation of the heart is a rare often fatal complication of chest drain insertion. We report a case of a 76-year-old female patient suffering from congestive heart failure. At presentation, unilateral opacity of the left chest observed on a chest X-ray was interpreted as massive pleural effusion, so an attempt was made to drain the left pleural space. Malposition of the chest drain was suspected because blood was draining in a pulsatile way from the catheter. Computed tomography revealed perforation of the left ventricle. Mini-thoracotomy was performed and the drain extracted successfully.
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