[Perforation of the left ventricle after insertion of a chest drain: favorable outcome despite an initially unfavorable situation].
Intra-abdominal and intrathoracic misplacement is a possible complication after insertion of a chest drain but perforation of the left ventricle has very rarely been described. We report on a 57-year-old woman who had to be resuscitated due to circulatory insufficiency subsequent to cardiogenic and hemorrhagic shock after the insertion of a chest drain for the treatment of a postpneumonic pleural effusion. During surgery perforation of the left ventricle with hemopericardium was found. Despite an initially unfavorable situation the patient recovered well.
Neurologie, SRH Fachkrankenhaus Neresheim, Kösinger Str. 11, 73450, Neresheim, Deutschland. m.schorl@asklepios.com
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D000203:Activities of Daily Living / Q000145:classification; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000628:therapy; D015505:Chest Tubes / Q000009:adverse effects*; D003299:Cooperative Behavior; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000175:diagnosis* / Q000628:therapy*; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy*; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D033183:Interdisciplinary Communication; D008875:Middle Aged; D010348:Patient Care Team; D026741:Physical Therapy Modalities; D010996:Pleural Effusion / Q000628:therapy*; D012050:Rehabilitation, Vocational; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000209:etiology / Q000628:therapy