Iatrogenic chest tube placement within the heart following a large pneumothorax
This case report describes an uncommon occurrence of cardiac injury and perforation resulting from chest tube placement. The patient, a 44-year-old female, presented to the ED with severe blunt force trauma following a pedestrian motor vehicle collision. Imaging revealed a large pneumothorax and mul...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325003875 |
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| author | Shervin Zoghi, BS, BA Cameron L. Brock, MD Kwame Atsina, MD Yasser G. Abdelhafez, MD, PhD Fatma Sen, MD Lorenzo Nardo, MD, PhD Mohammad H. Madani, MD |
| author_facet | Shervin Zoghi, BS, BA Cameron L. Brock, MD Kwame Atsina, MD Yasser G. Abdelhafez, MD, PhD Fatma Sen, MD Lorenzo Nardo, MD, PhD Mohammad H. Madani, MD |
| author_sort | Shervin Zoghi, BS, BA |
| collection | DOAJ |
| description | This case report describes an uncommon occurrence of cardiac injury and perforation resulting from chest tube placement. The patient, a 44-year-old female, presented to the ED with severe blunt force trauma following a pedestrian motor vehicle collision. Imaging revealed a large pneumothorax and multiple fractures. Pulsatile bleeding was observed during chest tube placement, and the tube’s tip was later found on CT of the thorax to be located within the heart. Although the patient recovered by postoperative day 13 and was subsequently discharged, this case highlights the importance of performing this procedure under image-guidance, along with elucidating the critical role of serial thorough clinical evaluations and prompt imaging for early detection and management of complications. |
| format | Article |
| id | doaj-art-2fdc0c5c4f4f45a9982c0c3abdb509a3 |
| institution | DOAJ |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-2fdc0c5c4f4f45a9982c0c3abdb509a32025-08-20T03:10:28ZengElsevierRadiology Case Reports1930-04332025-08-012083875387810.1016/j.radcr.2025.04.089Iatrogenic chest tube placement within the heart following a large pneumothoraxShervin Zoghi, BS, BA0Cameron L. Brock, MD1Kwame Atsina, MD2Yasser G. Abdelhafez, MD, PhD3Fatma Sen, MD4Lorenzo Nardo, MD, PhD5Mohammad H. Madani, MD6School of Medicine, University of California, Davis, CA, USADepartment of Radiology, University of California, Davis, CA, USADivision of Cardiovascular Medicine, Department of Internal Medicine, University of California DavisDepartment of Radiology, University of California, Davis, CA, USADepartment of Radiology, University of California, Davis, CA, USADepartment of Radiology, University of California, Davis, CA, USADepartment of Radiology, University of California, Davis, CA, USA; Corresponding author.This case report describes an uncommon occurrence of cardiac injury and perforation resulting from chest tube placement. The patient, a 44-year-old female, presented to the ED with severe blunt force trauma following a pedestrian motor vehicle collision. Imaging revealed a large pneumothorax and multiple fractures. Pulsatile bleeding was observed during chest tube placement, and the tube’s tip was later found on CT of the thorax to be located within the heart. Although the patient recovered by postoperative day 13 and was subsequently discharged, this case highlights the importance of performing this procedure under image-guidance, along with elucidating the critical role of serial thorough clinical evaluations and prompt imaging for early detection and management of complications.http://www.sciencedirect.com/science/article/pii/S1930043325003875Chest tube placementIatrogenicCardiac perforation |
| spellingShingle | Shervin Zoghi, BS, BA Cameron L. Brock, MD Kwame Atsina, MD Yasser G. Abdelhafez, MD, PhD Fatma Sen, MD Lorenzo Nardo, MD, PhD Mohammad H. Madani, MD Iatrogenic chest tube placement within the heart following a large pneumothorax Radiology Case Reports Chest tube placement Iatrogenic Cardiac perforation |
| title | Iatrogenic chest tube placement within the heart following a large pneumothorax |
| title_full | Iatrogenic chest tube placement within the heart following a large pneumothorax |
| title_fullStr | Iatrogenic chest tube placement within the heart following a large pneumothorax |
| title_full_unstemmed | Iatrogenic chest tube placement within the heart following a large pneumothorax |
| title_short | Iatrogenic chest tube placement within the heart following a large pneumothorax |
| title_sort | iatrogenic chest tube placement within the heart following a large pneumothorax |
| topic | Chest tube placement Iatrogenic Cardiac perforation |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325003875 |
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