A Complication of Blind Placement of a Chest Tube Into the Postpneumonectomy Space

Kopec, Scott; Conlan, A. Alan; Irwin, Richard S.

doi:10.1378/chest.114.4.1213

Cited by 39 publications

(20 citation statements)

References 4 publications

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“…Injuries with perforation of the (R) atrium [55], (L) atrium [56], (R) ventricle [57], and the (L) ventricle [58] have all been reported. Predisposing factors in patients reported were thoracic deformities, enlarged cardiac chambers, trauma, and emergency respiratory conditions.…”

Section: Complicationsmentioning

confidence: 99%

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Tube Thoracostomy: Complications and Its Management

et al. 2012

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Background. Tube thoracostomy is widely used throughout the medical, surgical, and critical care specialities. It is generally used to drain pleural collections either as elective or emergency. Complications resulting from tube thoracostomy can occasionally be life threatening. Aim. To present an update on the complications and management of complications of tube thoracostomy. Methods. A review of the publications obtained from Medline search, medical libraries, and Google on tube thoracostomy and its complications was done. Results. Tube thoracostomy is a common surgical procedure which can be performed by either the blunt dissection technique or the trocar technique. Complication rates are increased by the trocar technique. These complications have been broadly classified as either technical or infective. Technical causes include tube malposition, blocked drain, chest drain dislodgement, reexpansion pulmonary edema, subcutaneous emphysema, nerve injuries, cardiac and vascular injuries, oesophageal injuries, residual/postextubation pneumothorax, fistulae, tumor recurrence at insertion site, herniation through the site of thoracostomy, chylothorax, and cardiac dysrhythmias. Infective complications include empyema and surgical site infection. Conclusion. Tube thoracostomy, though commonly performed is not without risk. Blunt dissection technique has lower risk of complications and is hence recommended.

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Section: Complicationsmentioning

confidence: 99%

“…Perforation of the (R) ventricle has occurred due to poor knowledge of the anatomy of the postpneumonectomy space by operating physician [57]. …”

Section: Complicationsmentioning

confidence: 99%

Tube Thoracostomy: Complications and Its Management

et al. 2012

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“…We found that because of the associated rib crowding, resecting one or more ribs afforded better access. There are reports in the literature of fatal complications following interventions through the pneumonectomy space because of inability to appreciate the anatomical changes that occur following a pneumonectomy [7]. Adhesions were present in both cases, although they were denser in the case of the recurrent carcinoid.…”

Section: Discussionmentioning

confidence: 93%

Surgery for tumour recurrence in a pneumonectomy space

Ganti

Milton

Anikin

et al. 2006

European Journal of Cardio-Thoracic Surgery

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Reoperative surgery through a previous pneumonectomy space focuses on the management of postpneumonectomy empyemas and bronchopleural fistulae. There are reports of elective tracheal resections done through the pneumonectomy space. We report two cases of successful excision of recurrent tumours (leiomyosarcoma and carcinoid) performed through the previous pneumonectomy space 2 and 13 years, respectively, after the primary surgical resection. #

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“…The insertion should be done within the safety triangle, which is marked by the anterior border of the latissimus dorsi muscle, the lateral border of the pectoralis major, a horizontal line above nipple level, and an apex below the axilla [1]. Most cardiac injuries during the procedure were related to anatomic distortion such as post-pneumonectomy, extreme kyphoscoliosis, and cardiomegaly [5][6][7][8]. Our patient had marked cardiomegaly which made the left heart border close to the chest wall another factor was the avoidance of the use of image guidance.…”

Section: Discussionmentioning

confidence: 99%