Case Report
Volume: 5 | Issue: 6 | Published: Jun 02, 2021 | Pages: 182 - 186 | DOI: 10.24911/ejmcr/173-1613562139
Fatal misadventure of trocariatrogenic right atrial perforation during tube thoracostomy in a patient with cardiomegaly: a case report and review of literature
Authors: Parth Patel , Rohit Jindal , Kamal Kishor Lakhera , Sanjeev Patni
Article Info
Authors
Parth Patel
Senior Resident, Department of Surgical oncology, Bhagwan Mahaveer Cancer Hospital and Research Centre, Jaipur, Rajasthan, India
Rohit Jindal
Senior Resident, Department of Surgical oncology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India
Kamal Kishor Lakhera
Assistant Professor, Department of Surgical oncology, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, India
Sanjeev Patni
Consultant, Department of Surgical oncology, Bhagwan Mahaveer Cancer Hospital and Research Centre, Jaipur, Rajasthan, India
Publication History
Received: February 17, 2021
Revised: April 13, 2021
Accepted: April 29, 2021
Published: June 02, 2021
Abstract
Background: Tube thoracostomy is a routine life-saving procedure with vast implications in the management of various thoracic conditions that include pleural effusion, pneumothorax, empyema, blunt, and penetrating thoracic trauma. Though a simple procedure, a high rate of morbidity and mortality is associated if a complication occurs. Case Presentation: An intercostal chest tube was inserted by trocar method in a 47-year-old female with rheumatic heart disease associated cardiomegaly, which resulted in right atrial perforation. The patient was managed successfully by an emergency thoracotomy followed by cardiac repair surgery. Our case report demonstrates a very unusual yet life-threatening complication of a simple intervention such as intercostal chest tube insertion and highlights the management of the same. Aim of this case report is to discuss the clinical implications and literature pertaining to the iatrogenic cardiac injury during tube thoracostomy. Conclusion: The use of the blind method of intercostal chest drain insertion using a trocar should be discouraged, particularly in cases with dense pleural adhesions or cardiomegaly.
Keywords: Cardiac perforation, cardiothoracic surgery, healthcare improvement, patient safety, tube thoracostomy, green
Pubmed Style
Parth Patel, Rohit Jindal, Kamal Kishor Lakhera, Sanjeev Patni. Fatal misadventure of trocariatrogenic right atrial perforation during tube thoracostomy in a patient with cardiomegaly: a case report and review of literature. EJMCR. 2021; 02 (June 2021): 182-186. doi:10.24911/ejmcr/173-1613562139
Web Style
Parth Patel, Rohit Jindal, Kamal Kishor Lakhera, Sanjeev Patni. Fatal misadventure of trocariatrogenic right atrial perforation during tube thoracostomy in a patient with cardiomegaly: a case report and review of literature. https://ejmcr.com/articles/1312 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1613562139
AMA (American Medical Association) Style
Parth Patel, Rohit Jindal, Kamal Kishor Lakhera, Sanjeev Patni. Fatal misadventure of trocariatrogenic right atrial perforation during tube thoracostomy in a patient with cardiomegaly: a case report and review of literature. EJMCR. 2021; 02 (June 2021): 182-186. doi:10.24911/ejmcr/173-1613562139
Vancouver/ICMJE Style
Parth Patel, Rohit Jindal, Kamal Kishor Lakhera, Sanjeev Patni. Fatal misadventure of trocariatrogenic right atrial perforation during tube thoracostomy in a patient with cardiomegaly: a case report and review of literature. EJMCR. (2021), [cited December 25, 2024]; 02 (June 2021): 182-186. doi:10.24911/ejmcr/173-1613562139
Harvard Style
Parth Patel, Rohit Jindal, Kamal Kishor Lakhera, Sanjeev Patni (2021) Fatal misadventure of trocariatrogenic right atrial perforation during tube thoracostomy in a patient with cardiomegaly: a case report and review of literature. EJMCR, 02 (June 2021): 182-186. doi:10.24911/ejmcr/173-1613562139
Chicago Style
Parth Patel, Rohit Jindal, Kamal Kishor Lakhera, Sanjeev Patni. "Fatal misadventure of trocariatrogenic right atrial perforation during tube thoracostomy in a patient with cardiomegaly: a case report and review of literature." 02 (2021), 182-186. doi:10.24911/ejmcr/173-1613562139
MLA (The Modern Language Association) Style
Parth Patel, Rohit Jindal, Kamal Kishor Lakhera, Sanjeev Patni. "Fatal misadventure of trocariatrogenic right atrial perforation during tube thoracostomy in a patient with cardiomegaly: a case report and review of literature." 02.June 2021 (2021), 182-186. Print. doi:10.24911/ejmcr/173-1613562139
APA (American Psychological Association) Style
Parth Patel, Rohit Jindal, Kamal Kishor Lakhera, Sanjeev Patni (2021) Fatal misadventure of trocariatrogenic right atrial perforation during tube thoracostomy in a patient with cardiomegaly: a case report and review of literature. , 02 (June 2021), 182-186. doi:10.24911/ejmcr/173-1613562139