• Janice Shin-Kim, Nathan Zapolsky, Elias Wan, Eric Steinberg, Michael Heller, and Jeanne L Jacoby.
• Mount Sinai Beth Israel, 16st & 1st ave, New York, NY 10003, United States of America.
• Am J Emerg Med. 2019 Feb 1; 37 (2): 377.e5-377.e6.

AbstractThoracostomy tube placement is one of the more common procedures performed in the Emergency Department, most commonly for treatment of pneumothorax or hemothorax but occasionally for drainage of empyema or pleural effusion. Thoracostomy may be a life-saving procedure with a wide range of complication rates reported, ranging from 19.4-37%, most commonly extrathoracic placement. Most recent meta-analyses showed a relatively stable complication rate of 19% over the past three decades with the vast majority being benign in nature. We present a case with the rare complication of thoracostomy in which of a small-caliber thoracostomy tube was placed in the left ventricle. Although thoracotomy was performed to remove the catheter, the patient remained virtually asymptomatic and had an uneventful course.Copyright © 2018. Published by Elsevier Inc.

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