Echocardiogram of first reported fibroelastoma recurrence distant to previous resection.
Central MessageCardiac papillary fibroelastoma recurrence is exceedingly rare but has been reported at previous resection locations. We present the first reported recurrence of distant from past surgical sites.
It is said that practice makes perfect, and repetition is the mother of learning. This is especially true of practical skill acquisition, which is vital for any specialty in medicine. As many papers have demonstrated, early and prolonged exposure to various skills and repeated practice leads to increased proceduralist confidence, skill and improved patient interaction in future. 1,2 As supervisors, it is also our duty of care to our patients that we recognize a proceduralist's level of skill, supervise where appropriate and give constructive and practical feedback in order to assist in their continuous improvement.Recently, our tertiary centre was referred a 27-year-old male with a complication of intercostal catheter (ICC) insertion.The patient presented to a peripheral hospital with sudden onset unilateral chest pain and increased work of breathing. He was quickly diagnosed with a pneumothorax on chest X-ray and the insertion of an ICC was planned.A 9-Fr catheter set with a sharp introducer was available at this institution, and the decision was made by the treating physician to place the drain apically.We were informed that the ICC was placed by a proceduralist who was in medical training and supervised by the treating physician. Unfortunately, the catheter was noted to aspirate blood, the procedure was terminated and immediate chest X-ray performed.
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