1.
Int J Cardiol
; 176(1): e13-4, 2014 Sep.
Artigo
em Inglês
| MEDLINE
| ID: mdl-25065338
2.
Indian J Crit Care Med
; 16(3): 157-9, 2012 Jul.
Artigo
em Inglês
| MEDLINE
| ID: mdl-23188958
RESUMO
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.