Iatrogenic chest tube placement within the heart following a large pneumothorax.

Shervin Zoghi, Cameron L Brock, Kwame Atsina, Yasser G Abdelhafez, Fatma Sen, Lorenzo Nardo, Mohammad H Madani

Abstract readCase Reports

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Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Shervin ZoghiSchool of Medicine, University of California, Davis, CA, USA.

Cameron L BrockDepartment of Radiology, University of California, Davis, CA, USA.

Kwame AtsinaDivision of Cardiovascular Medicine, Department of Internal Medicine, University of California Davis.

Yasser G AbdelhafezDepartment of Radiology, University of California, Davis, CA, USA.

Fatma SenDepartment of Radiology, University of California, Davis, CA, USA.

Lorenzo NardoDepartment of Radiology, University of California, Davis, CA, USA.

Mohammad H MadaniDepartment of Radiology, University of California, Davis, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Cardiac perforationChest tube placementIatrogenic

Identifiers

PMID40492159

DOI10.1016/j.radcr.2025.04.089

PMCPMC12148379

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