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(Chest. 1998;114:1213-1215.)
© 1998 American College of Chest Physicians

Perforation of the Right Ventricle

A Complication of Blind Placement of a Chest Tube Into the Postpneumonectomy Space

Scott E. Kopec MD1; A. Alan Conlan MD, FCCP1; and Richard S. Irwin MD, FCCP1

1 From the Divisions of Pulmonary, Allergy, and Critical Care Medicine, and Cardiothoracic Surgery, University of Massachusetts Medical School, Worcester, MA.

Scott E. Kopec, MD, UMass Memorial Health Care, UMass Campus, Division of Pulmonary, Allergy, and Critical Care Medicine, 55 Lake Ave N, Worcester, MA 01655

We were asked to review a case from an outside hospital in which there was inadvertent perforation of the right ventricle during the percutaneous placement of a chest tube. We present the case in the hopes that by doing so, others will avoid such a complication in the future. After reviewing the case, it appeared that the complication occurred because the physician was not knowledgeable about the anatomy of the postpneumonectomy space and the physician failed to use the safest procedure in placing the tube.

Key Words: chest tube • complication • perforation • pneumonectomy • right ventricle • tube thoracostomy

Submitted on March 3, 1998
Accepted on June 8, 1998




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