Lungs and Pleura

  • Riyad Karmy-Jones
  • J. Wayne Meredith


A 59-year-old patient with end-stage renal disease required direct placement of a central line that resulted in a pneumothorax and a hemothorax. Even after insertion of two chest tubes over a 48-hour period, there was still radiographic documentation of a substantial amount of retained hematoma. The patient is hemodynamically stable with a normal coagulation profile. Which of the following should be the management option?
  1. (A)

    Insertion of a third chest tube

  2. (B)

    Urokinase administration (via chest tube)

  3. (C)

    Video-assisted thoracic surgery

  4. (D)


  5. (E)

    Continued observation



Pulmonary Embolism Chest Tube Pulmonary Artery Catheter Pleural Space Bronchial Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Riyad Karmy-Jones
    • 1
  • J. Wayne Meredith
    • 2
  1. 1.Department of Cardiothoracic SurgeryHarborview Medical CenterSeattleUSA
  2. 2.Department of SurgeryWake Forest University School of MedicineWinston-SalemUSA

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