Deshpande Seema P, Chow Jonathan H, Odonkor Patrick, Griffith Bartley, Carr Shamus R
From the Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland.
A A Pract. 2018 Nov 15;11(10):273-275. doi: 10.1213/XAA.0000000000000807.
Chest tube thoracostomy is a commonly performed procedure in the emergency department, operating room, and intensive care unit. We report an extremely rare case of accidental insertion of a chest tube into the left atrium via the right pulmonary vein during an interventional radiology-guided placement of the catheter. To our knowledge, such a case has not been reported to date. The anesthetic and surgical management of this injury are discussed.
胸腔闭式引流术是急诊科、手术室和重症监护病房常用的操作。我们报告了1例极其罕见的病例，在介入放射学引导下放置导管过程中，胸腔引流管经右肺静脉意外插入左心房。据我们所知，迄今为止尚未有此类病例的报道。本文讨论了该损伤的麻醉和手术处理。
