An Exceptional Case of Iatrogenic Pulmonary Artery Injury due to Chest Tube Insertion

Charbel Al Zreibi1, Giuseppe Mangiameli1, Abderrahmen Ammar1, Hicham Masmoudi1, Anne Hernigou2 and Françoise Le Pimpec-Barthes1,3*

1Department of Thoracic Surgery, European Hospital Georges Pompidou, Assistance Publique – Hôpitaux de Paris, University of Paris, France
2Department of Radiology, European Hospital Georges Pompidou, Assistance Publique – Hôpitaux de Paris, University of Paris, France
3Research Center des Cordeliers, INSERM UMR-S 1138, Sorbonne University, USPC, University of Paris, France

^*Correspondance to: Francoise Le Pimpec-Barthes 

 PDF  Full Text DOI: 10.25107/2474-1647.3236

Abstract

We report an exceptional case of accidental pulmonary artery peripheral catheterization ascended to the proximal trunk following chest tube insertion. Because arterial injury was peripheral, an extreme urgent lateral thoracotomy with wedge resection allowed control the wound. Sixteen case reports describing pulmonary artery injury following a chest tube insertion were reported in the literature. In all cases, the tube was immediately clamped and left in situ but severe hypotension or hemorrhagic shock occurred in ten cases. Twelve patients were operated to remove the tube and control hemorrhage. In 5 cases it required pneumonectomy. The mortality rate was 33%. Pulmonary artery injury after chest tube insertion is an exceptional event with high mortality rate.

Keywords

Chest tube; Complication; Emergency

Cite the article

Al Zreibi C, Mangiameli G, Ammar A, Masmoudi H, Hernigou A, Le Pimpec- Barthes F. An Exceptional Case of Iatrogenic Pulmonary Artery Injury due to Chest Tube Insertion. Clin Surg. 2021; 6: 3236..