A conservative surgical approach for management of iatrogenic pulmonary artery perforation

Accidental malposition of a chest tube in the pulmonary artery is a potentially fatal complication. Here we describe a 66 year-old obese woman with prior cardiac transplantation, intubated for respiratory failure and felt to have a large left pleural effusion. A chest tube was inserted using a troca...

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Autores principales: Biswas, Monodeep, Boruah, Pranjal Kumar, Koch, Lear Von
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3506075/
https://www.ncbi.nlm.nih.gov/pubmed/23188958
http://dx.doi.org/10.4103/0972-5229.102091
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author Biswas, Monodeep
Boruah, Pranjal Kumar
Koch, Lear Von
author_facet Biswas, Monodeep
Boruah, Pranjal Kumar
Koch, Lear Von
author_sort Biswas, Monodeep
collection PubMed
description Accidental malposition of a chest tube in the pulmonary artery is a potentially fatal complication. Here we describe a 66 year-old obese woman with prior cardiac transplantation, intubated for respiratory failure and felt to have a large left pleural effusion. A chest tube was inserted using a trocar tube, and resulted in near-exsanguinating hemorrhage immediately, with development of hypovolemic shock. Prompt clamping of the tube proved life-saving, and CT scan confirmed placement of the tube in the main pulmonary artery. Initial stabilization, followed by a planned surgical approach, resulted in successful removal of the tube.
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spelling pubmed-35060752012-11-27 A conservative surgical approach for management of iatrogenic pulmonary artery perforation Biswas, Monodeep Boruah, Pranjal Kumar Koch, Lear Von Indian J Crit Care Med Case Report Accidental malposition of a chest tube in the pulmonary artery is a potentially fatal complication. Here we describe a 66 year-old obese woman with prior cardiac transplantation, intubated for respiratory failure and felt to have a large left pleural effusion. A chest tube was inserted using a trocar tube, and resulted in near-exsanguinating hemorrhage immediately, with development of hypovolemic shock. Prompt clamping of the tube proved life-saving, and CT scan confirmed placement of the tube in the main pulmonary artery. Initial stabilization, followed by a planned surgical approach, resulted in successful removal of the tube. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3506075/ /pubmed/23188958 http://dx.doi.org/10.4103/0972-5229.102091 Text en Copyright: © Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Biswas, Monodeep
Boruah, Pranjal Kumar
Koch, Lear Von
A conservative surgical approach for management of iatrogenic pulmonary artery perforation
title A conservative surgical approach for management of iatrogenic pulmonary artery perforation
title_full A conservative surgical approach for management of iatrogenic pulmonary artery perforation
title_fullStr A conservative surgical approach for management of iatrogenic pulmonary artery perforation
title_full_unstemmed A conservative surgical approach for management of iatrogenic pulmonary artery perforation
title_short A conservative surgical approach for management of iatrogenic pulmonary artery perforation
title_sort conservative surgical approach for management of iatrogenic pulmonary artery perforation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3506075/
https://www.ncbi.nlm.nih.gov/pubmed/23188958
http://dx.doi.org/10.4103/0972-5229.102091
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