ABSTRACT

The authors report a rare case of internal thoracic artery lesion caused by a chest tube in a patient under open drainage system treatment for empyema. The vessel rupture, leading the patient to hypovolemic shock and massive hemoptysis, was the indication for surgical intervention. They also emphasize the care with a thoracic drainage and the need for radiologic control.

Keywords: Thoracostomy. Internal thoracic artery. Chest tube.

RESUMO

Relata-se caso raro de lesão da artéria torácica interna por dreno torácico, em paciente com empiema pleural crônico. A rotura desse vaso, levando o paciente ao choque hipovolêmico e hemoptise maciça, indicou a cirurgia. Enfatizam-se os cuidados na drenagem torácica e a importância do controle radiológico pós-drenagem.

Palavras-chave: Pleurotomia. Artéria torácica interna. Dreno de tórax.

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