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KMID : 0364020130460030223
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Korean Journal of Thoracic and Cardiovascular Surgery
2013 Volume.46 No. 3 p.223 ~ p.225
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Iatrogenic Perforation of the Left Ventricle during Insertion of a Chest Drain
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Kim Dong-Min
Lim Seong-Hoon
Seo Pil-Won
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Abstract
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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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KEYWORD
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Heart, Complications, Chest tubes
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