Abstract
Chest drain is commonly performed lifesaving procedure. Chances of cardiac injury after chest drain placement are more if there is cardiomegaly, dense pleural adhesions, kyphoscoliosis, or post lung injury or surgery. Proper technique, thinner drains and use of image guidance like ultrasound, fluoroscopy or computed tomography can reduce the catastrophic complications. Only 18 cases of cardiac injury following chest drain placement are reported, we present a case of polytrauma who had a near miss cardiac catastrophic event following chest drain placement for pneumothorax.
Keywords: Misplaced drain, cardiac injury, intercostal drain (ICD), complication.
References
- Laws D, Neville E, Duffy J. BTS guidelines for the insertion of a chest drain. Thorax. 2003 May;58(Suppl 2):ii53.
- Pollak JS. Malignant pleural effusions: treatment with tunneled long-term drainage catheters. Current opinion in pulmonary medicine. 2002 Jul 1;8(4):302-7.
- Patel P, Jindal R, Lakhera KK, Patni S. Fatal misadventure of trocar-iatrogenic right atrial perforation during tube thoracostomy in a patient with cardiomegaly: a case report and review of literature. European Journal of Medical Case Reports. 2021;5(6):182-6.
- Al Mosa AF, Ishaq M, Ahmed MH. Unusual malposition of a chest tube, intrathoracic but extrapleural. Case Reports in Radiology. 2018 Aug 6;2018.
- Kim D, Lim SH, Seo PW. Iatrogenic perforation of the left ventricle during insertion of a chest drain. The Korean Journal of Thoracic and Cardiovascular Surgery. 2013 Jun;46(3):223.
- Jones CW, Rodriguez RD, Griffin RL, McGwin G, Jansen JO, Kerby JD, Bosarge PL. Complications associated with placement of chest tubes: a trauma system perspective. Journal of Surgical Research. 2019 Jul 1;239:98-102.
- Bertoglio P, Guerrera F, Viti A, Terzi AC, Ruffini E, Lyberis P, Filosso PL. Chest drain and thoracotomy for chest trauma. Journal of thoracic disease. 2019 Feb;11(Suppl 2):S186.
- Goltz JP, Gorski A, Böhler J, Kickuth R, Hahn D, Ritter CO. Iatrogenic perforation of the left heart during placement of a chest drain. Diagnostic and Interventional Radiology. 2011 Sep 1;17(3):229.
Corresponding Author
Dr Shailendra Anjankar
Associate Professor
Neurosurgery, AIIMS Raipur
DOI: https://dx.doi.org/10.18535/jmscr/v11i7.01
