title: The Parable of the Errant Chest Drain in the Heart: Is There Only 1 Option?
abstract: Accidental intraventricular placement of a pericardiocentesis catheter is a rare but well-recognized complication. Failure to achieve adequate hemostasis in the ventricular wall on removal of the catheter can potentially result in fatal consequences. Here we describe a case in which a chest drain (10.2F) accidentally entered into the right ventricle while attempting to drain pleural fluid, and the entry site was sealed using an Amplatzer VSD occluder device (St. Jude Medical, St. Paul, MN).
authors.affiliation: Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada.
authors.forename: Ashish H
authors.initials: AH
authors.lastname: Shah
authors.affiliation: Department of Interventional Radiology, University Health Network, Toronto, Ontario, Canada.
authors.forename: Martin
authors.initials: M
authors.lastname: Simons
authors.affiliation: Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada.
authors.forename: Hani
authors.initials: H
authors.lastname: Amad
authors.affiliation: Department of Anesthesiology and Pain Management, University Health Network, Toronto, Ontario, Canada.
authors.forename: Neilesh
authors.initials: N
authors.lastname: Soneji
authors.affiliation: Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada. Electronic address: eric.horlick@uhn.ca.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Horlick
mesh_terms: D000369:Aged, 80 and over; D015505:Chest Tubes / Q000009:adverse effects*; D020878:Device Removal; D005260:Female; D006333:Heart Failure / Q000150:complications*; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D020519:Pericardiocentesis / Q000009:adverse effects* / Q000295:instrumentation; D010996:Pleural Effusion / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed