Chest Tube Injury to Left Ventricle: Complication or Negligence?

An injury to the left ventricle after a chest tube insertion is a rare but lethal phenomenon that is likely to occur if precautions are not seriously addressed. We present a 15-year-old girl who was diagnosed a left empyema thoracis. An attempt to place a chest drain in this young girl was almost fa...

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Veröffentlicht in:	The Annals of thoracic surgery 2010-07, Vol.90 (1), p.308-309
Hauptverfasser:	Haron, Hairufaizi, MS, Rashid, Norfaezan Abdul, MD, Dimon, Mohd Zamrin, MS, Azmi, Muhd Helmi, MMed, SuMin, Joanna Ooi, MMed, Zabir, Azmil Farid, MMed, Abdul Rahman, Mohd Ramzisham, MS
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiac Surgical Procedures Cardiology. Vascular system Cardiothoracic Surgery Chest Tubes - adverse effects Drainage - adverse effects Drainage - instrumentation Empyema, Pleural - etiology Empyema, Pleural - therapy Female Heart Injuries - etiology Heart Ventricles - injuries Heart Ventricles - surgery Humans Malpractice Medical sciences Pneumology Surgery Thoracic Surgery Tuberculosis, Pulmonary - complications
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Beschreibung
Zusammenfassung:	An injury to the left ventricle after a chest tube insertion is a rare but lethal phenomenon that is likely to occur if precautions are not seriously addressed. We present a 15-year-old girl who was diagnosed a left empyema thoracis. An attempt to place a chest drain in this young girl was almost fatal. A left ventricular repair together with thoracotomy and decortication were successful. This case emphasizes the rarity of this lethal complication and the importance of the correct technique for chest tube insertion.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2010.01.075