CardioVascular and Interventional Radiology

, Volume 42, Issue 3, pp 478–480 | Cite as

Use of Amplatzer Vascular Plug to Embolize Errant Chest Tube Tract in Liver

  • Jong Hyun Byeon
  • Dong Jae ShimEmail author
Letter to the Editor

We have read the case report of Hamanaka et al. [1] with great interest, prompting us to share a similar account in which a 70-year-old man presented with dyspnea.

During subsequent clinical diagnostics, computed tomography (CT) revealed a right apical lung mass that appeared to invade chest wall. In addition, the entire right upper lobe was collapsed, causing upward hemidiaphragmatic shift, and a right pleural effusion was detected. Insertion of a 14-Fr chest tube to collect fluid instead brought an immediate surge of blood (~ 550 mL), the dire effects then precipitating cardiopulmonary resuscitation. Upon return of spontaneous circulation, plain radiographs and CT images demonstrated tubal penetration of the liver. The tip of the chest tube had arrived at right ventricle (Figs.  1 and 2), traveling via right hepatic vein. Fortunately, hemodynamic stabilization was soon achieved.


Compliance with Ethical Standards

Conflicts of interest

The authors declare that they have no conflict of interest.

Consent for Publication

For this type of study consent for publication is not required.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

Informed Consent

This study has obtained approval from our institutional review board, and the need for informed consent was waived.


  1. 1.
    Hamanaka K, Hirokawa Y, Itoh T, Yamasaki M, Hayashi K, Sawai S, et al. Successful balloon-assisted hepatic tract embolization using the pull-through technique to remove a malpositioned chest tube penetrating the liver and into the right ventricle. Cardiovasc Intervent Radiol. 2018;41:1436–9.CrossRefGoogle Scholar
  2. 2.
    Saad WE, Madoff DC. Percutaneous portal vein access and transhepatic tract hemostasis. Semin Intervent Radiol. 2012;29:71–80.CrossRefGoogle Scholar
  3. 3.
    Carlisle KM, Halliwell M, Read AE, Wells PNT. Estimation of total hepatic blood flow by duplex ultrasound. Gut. 1992;33:82–7.Google Scholar
  4. 4.
    Groszmann RT, Glickman M, Blei AT, Storer E, Conn H. Wedged and free hepatic venous pressure measured with a balloon catheter. Gastroenterology. 1978;76:253–8.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  1. 1.Department of Radiology, Incheon St. Mary’s Hospital, College of MedicineThe Catholic University of KoreaIncheonRepublic of Korea

Personalised recommendations