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Eur J Cardiothorac Surg 2008;34:903. doi:10.1016/j.ejcts.2008.06.043
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Parapneumonic pleural effusion. Accidental insertion of a chest tube into right pulmonary artery

Carlos Alberto Romboláa, Sergio Beltrame Tomatisb, Antonio Francisco Honguero Martíneza,*, Pablo León Atancea

a Department of Thoracic Surgery, Hospital General Universitario de Albacete, Albacete, Spain
b Department of Cardiac Surgery, Recoletas Clinic, Albacete, Spain

Received 28 April 2008; received in revised form 23 May 2008; accepted 9 June 2008.

* Corresponding author. Address: Department of Thoracic Surgery, Hospital General Universitario, Hermanos Falcó 37, 02006 Albacete, Spain. Tel.: +34 967597213; fax: +34 967597213. (Email: tonyhonguero{at}yahoo.es).

Key Words: Chest tube • Pleural effusion • Iatrogenic injury • Pulmonary artery

A 56-year-old man suffered a right pneumonia and homolateral pleural effusion. After chest tube drain, hemothorax through the tube was observed. Insertion of the tube into main pulmonary artery was seen on a CT scan (Figs. 1 and 2 ). Reparation of vascular lesions was not feasible; right pneumonectomy was performed via anterolateral right thoracotomy.


Figure 1
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  		Fig. 1. X-ray film showing chest tube into right hemithorax crossing the middle line to contralateral side.

 

Figure 2
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  		Fig. 2. Chest CT scan showing chest tube into right pulmonary artery up to the pulmonary artery root.

 





This Article
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Right arrow Articles by Rombolá, C. A.
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Right arrow Articles by Rombolá, C. A.
Right arrow Articles by Atance, P. L.
Related Collections
Right arrow Lung - other
Right arrow Pleura
Right arrow Great vessels

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