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Case Reports in Medicine
Volume 2013, Article ID 590971, 2 pages
http://dx.doi.org/10.1155/2013/590971
Case Report

A Case Report of Iatrogenic Pulmonary Artery Injury due to Chest-Tube Insertion Repaired under Cardiopulmonary Bypass

1Thoracic and Cardiovascular Surgery, University Hospital of Fann, CHN Fann Dakar Sénégal, BP 5035, Dakar, Senegal
2Cardiology, University Hospital of Fann, CHN Fann Dakar Sénégal, BP 5035, Dakar, Senegal
3Intensive Care Unit, University Hospital of Fann, CHN Fann Dakar Sénégal, BP 5035, Dakar, Senegal

Received 27 May 2013; Revised 22 July 2013; Accepted 8 August 2013

Academic Editor: Arduino A. Mangoni

Copyright © 2013 Ciss Amadou Gabriel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The authors presented a case of a 50-year-old patient with multiple trauma who suffered from the inadvertent cannulation of the main pulmonary artery at the second attempt of left chest drainage. Pulmonary artery injury has been suspected because early chest tube production was 2300 mL of blood. CT scan showed injury of the trunk of the pulmonary artery, left hemothorax, and suspect damage of the right branch of the pulmonary artery. That chest tube touched the posterior wall of ascending aorta. Surgical approach was median sternotomy. Exploration showed a perforation of the trunk of pulmonary artery without lesion of the right pulmonary branch and the posterior wall of the ascending aorta. The lesion was repaired under normothermic partial cardiopulmonary bypass. Postoperative period was free of events. Review of the literatures for this rare case report has been done.