Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Iatrogenic Perforation of the Left Ventricle during Insertion of a Chest Drain

  • Kim, Dongmin (Department of Internal Medicine, Dankook University College of Medicine) ;
  • Lim, Seong-Hoon (Department of Internal Medicine, Dankook University College of Medicine) ;
  • Seo, Pil Won (Department of Thoracic Surgery, Dankook University College of Medicine)
  • Received : 2012.07.25
  • Accepted : 2012.11.15
  • Published : 2013.06.05
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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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References

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