Ann Thorac Surg. 2019 Dec;108(6):e405-e407

# Surgical Management of Iatrogenic Left Ventricle Perforation by Chest Tube Insertion.

Varghese S, Slottosch I, Saha S, Wacker M, Awad G, Wippermann J, Scherner M

Chest tube thoracostomy is a standard procedure in every intensive care unit. Although it is regarded as a safe procedure in experienced hands, rare complications do occur. This report describes iatrogenic perforation of the left ventricle after placement of an intercostal catheter and the successful surgical management of this injury. Various operative situations that may arise in relation to iatrogenic perforation of the left ventricle are also discussed, as well as steps to manage this potentially life-threatening complication.