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General Thoracic and Cardiovascular Surgery

, Volume 59, Issue 3, pp 216–219 | Cite as

Bronchial and cardiac ruptures due to blunt trauma

  • Takahiko MisaoEmail author
  • Takeshi Yoshikawa
  • Motoi Aoe
  • Norichika Iga
  • Masashi Furukawa
  • Takanori Suezawa
  • Mamoru Tago
Case Report

Abstract

Tracheobronchial and cardiac injuries following blunt thoracic trauma are uncommon but can be life-threatening. 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 traffic accident and was hemodynamically stable on arrival. Chest computed tomography revealed cervicomediastinal emphysema and hemopericardium, and fiberoptic 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 flap of intercostal muscle.

Key words

Blunt trauma Bronchial rupture Cardiac rupture Tracheobronchial injury Atrial rupture 

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Copyright information

© The Japanese Association for Thoracic Surgery 2011

Authors and Affiliations

  • Takahiko Misao
    • 1
    Email author
  • Takeshi Yoshikawa
    • 1
  • Motoi Aoe
    • 1
  • Norichika Iga
    • 1
  • Masashi Furukawa
    • 1
  • Takanori Suezawa
    • 2
  • Mamoru Tago
    • 2
  1. 1.Department of SurgeryKagawa Prefectural Central HospitalKagawaJapan
  2. 2.Department of Cardiovascular SurgeryKagawa Prefectural Central HospitalKagawaJapan

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