ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Aortic perforation following chest tube insertion: an unusual complication
Faruk Toktaş1, Gündüz Yümün1, Mehmet Tuğrul Göncü1, Serhat Yalçınkaya2, Şenol Yavuz1
1Department of Cardiovascular Surgery, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
2Department of Thoracic Surgery, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.5830
Tube thoracostomy is a routine intervention which is used in cardiovascular surgery clinics. Although it is a life-saving intervention in most cases, it has serious complications leading to mortality. We encountered an ascending aortic perforation, an unusual complication following apical chest tube insertion, in a 71-year-old male patient who underwent coronary artery bypass graft (CABG) surgery in our clinic. This complication was managed successfully and the patient was discharged with a complete recovery. This rare but fatal complication should be considered for the patients undergoing tube thoracostomy, particularly with a toracar. It should also be noticed whether the patients have mediastinal shift in postoperative period.
Keywords : Aortic rupture; chest tube; thoracostomy
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