Perforation of IVC by Chest Draings Tube: Report A Case.
- Author:
Won Suk CHUNG
1
;
Dong Suk MOON
;
Doo Yun LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Respiratory Center, Yondong Severance Hospital, Yonsei University College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Thoracostomy;
Vena cava, inferior
- MeSH:
Adult;
Carcinoma, Small Cell;
Drainage;
Drug Therapy;
Empyema;
Hemorrhage;
Humans;
Magnetic Resonance Imaging;
Male;
Mortality;
Polypropylenes;
Sutures;
Thoracostomy;
Thoracotomy;
Thorax*;
Vena Cava, Inferior
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(11):1128-1131
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Injuries to vena cava continue to be associated with a high mortality. Essentials to successful treatment are immediate recognition of the injury and prompt control of the hemorrhage. We have experienced one case of inferior vena cava perforation by a chest drainage tube in the patient with post-operative chronic empyema thoracis. The patient was 38-year old male who was taken RLL lobectomy after 6 cycle of chemotherapy due to small cell carcinoma in the RLL and suffered from post-operative chronic empyema thoracis at D hospital. He moved to our hospital for further evaluation with accidental removal of chest drainge tube. We inserted closed drainage tube and dark blood gushed out abruptly just after insertion of the drainage tube. CTscan, MRI, and angiogram were performed and showed the perforation of IVC just below RA. The IVC was repaired using simple interrupted 4-0 Prolene suture through right posterolateral thoracotomy. The patient recovered without event and doing well until now.
