Year : 2010  |  Volume : 13  |  Issue : 1  |  Page : 70-

Right subpleural position of the ascending aorta: A pitfall for the cardio-thoracic surgeon


Nikolaos G Baikoussis, Efstratios E Apostolakis, Efstratios N Koletsis, Dimitrios Dougenis 
 Department of Cardio-thoracic Surgery, University Hospital, Patras School of Medicine, Patras, Greece

Correspondence Address:
Nikolaos G Baikoussis
Cardiothoracic Surgeon, Kolokotroni 4, Ovria, 26500 Patras
Greece




How to cite this article:
Baikoussis NG, Apostolakis EE, Koletsis EN, Dougenis D. Right subpleural position of the ascending aorta: A pitfall for the cardio-thoracic surgeon.Ann Card Anaesth 2010;13:70-70


How to cite this URL:
Baikoussis NG, Apostolakis EE, Koletsis EN, Dougenis D. Right subpleural position of the ascending aorta: A pitfall for the cardio-thoracic surgeon. Ann Card Anaesth [serial online] 2010 [cited 2022 Nov 28 ];13:70-70
Available from: https://www.annals.in/text.asp?2010/13/1/70/58840


Full Text

We would like to present a case that illustrates a potential "pitfall"/catastrophe if thoracocentesis was performed based on X-ray alone without the CT of the chest. An 85-year-old female presented with dyspnoea and chest X-ray [Figure 1], revealed features of "pleural effusion" on the right side, suggesting a thoracocentesis and chest tube placement. However, there was a severe tracheal deviation, but the etiology was not known. According to the bibliography, reasons for sever tracheal deviation could be diffuse fibrous, [1] goiter, [2] unilateral emphysema, recurrent pneumonia, etc. [3],[4] CT of chest [Figure 2], showed severe shift of mediastinum to right with ascending aorta just under the lateral thoracic cavity.

References

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