Bronchial and cardiac ruptures due to blunt trauma
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Takahiko Misao, MD · Takeshi Yoshikawa, MD Motoi Aoe, MD · Norichika Iga, MD Masashi Furukawa, MD · Takanori Suezawa, MD Mamoru Tago, MD
- چاپ و سال / کشور: 2011
Description
Tracheobronchial and cardiac injuries following blunt thoracic trauma are uncommon but can be lifethreatening. We report a case in which the patient with bronchial and right atrial ruptures due to blunt trauma survived after emergent repairs. An 18-year-old female driver was transported to our hospital after a traffi c accident and was hemodynamically stable on arrival. Chest computed tomography revealed cervicomediastinal emphysema and hemopericardium, and fi beroptic bronchoscopy showed a tear in the right main bronchus. She was intubated with a double-lumen endotracheal tube guided by bronchoscopy. A median sternotomy was undertaken, and a laceration of the right atrium was oversewn without the use of cardiopulmonary bypass. After that, right-sided thoracotomy was performed. The tear in the membranous portion of the right main bronchus was repaired with interrupted sutures, and the suture lines were wrapped with a pedicled fl ap of intercostal muscle.
Gen Thorac Cardiovasc Surg (2011) 59:216–219 DOI 10.1007/s11748-010-0638-3 Received: 23 February 2010 / Accepted: 7 May 2010
