Parapneumonic pleural effusion. Accidental insertion of a chest tube into right pulmonary artery

A 56-year-old man suffered a right pneumonia and homolateral pleural effusion.After chest tube drain, hemothorax through the tube was observed.Insertion of the tube into main pulmonary artery was seen on a CT scan (Figs. 1 and2).Reparation of vascular lesions was not feasible; right pneumonectomy was performed via anterolateral right thoracotomy.