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Iatrogenic Perforation of the Pulmonary Artery by a Pleural Drain
Perforación yatrogénica de la arteria pulmonar por tubo de drenaje pleural
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] 2 => array:3 [ "nombre" => "Roberto" "apellidos" => "Brusadin" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Leire" "apellidos" => "Azcárate-Perea" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía General y Digestiva, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Perforación yatrogénica de la arteria pulmonar por tubo de drenaje pleural" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 447 "Ancho" => 620 "Tamanyo" => 69760 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The patient is a 63-year-old male who had undergone splenectomy and had not received pneumococcal vaccination. He was admitted to our hospital with left pneumonia and parapneumonic effusion (empyema). During the insertion of the pleural drainage tube, profuse bleeding was observed, and the tube was clamped. Chest CT (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>) showed the tube in the posterior wall of the left pulmonary artery, with no active bleeding. Using thoracotomy, the tube was observed to be perforating the pulmonary parenchyma and entering the posterior wall of the pulmonary artery, where arterial bleeding was identified after careful mobilization of the tube. Hemostasis was achieved with a tobacco pouch suture that encompassed the arterial injury from the drainage tube. The patient presented an uneventful postoperative recovery.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Sánchez-Fuentes PA, Gil-Gómez E, Brusadin R, Azcárate-Perea L. Perforación yatrogénica de la arteria pulmonar por tubo de drenaje pleural. Cir Esp. 2014;92:e49.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 452 "Ancho" => 620 "Tamanyo" => 56558 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 447 "Ancho" => 620 "Tamanyo" => 69760 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000009200000008/v1_201409150157/S2173507714003482/v1_201409150157/en/main.assets" "Apartado" => array:4 [ "identificador" => "15075" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000009200000008/v1_201409150157/S2173507714003482/v1_201409150157/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507714003482?idApp=UINPBA00004N" ]
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