Indian Journal of Critical Care Medicine

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VOLUME 16 , ISSUE 3 ( July, 2012 ) > List of Articles

CASE REPORT

A conservative surgical approach for management of iatrogenic pulmonary artery perforation

Monodeep Biswas, Pranjal Kumar Boruah, Lear Von Koch

Keywords : Hemorrhage, pulmonary artery, thoracostomy

Citation Information : Biswas M, Boruah PK, Koch LV. A conservative surgical approach for management of iatrogenic pulmonary artery perforation. Indian J Crit Care Med 2012; 16 (3):157-159.

DOI: 10.4103/0972-5229.102091

License: CC BY-ND 3.0

Published Online: 00-07-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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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