Skip to main content
Log in

Successfully repaired traumatic tracheal disruption and cardiac rupture with cardiopulmonary support

  • Published:
The Japanese Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A 19-year-old man suffering from dyspnea associated with tracheal and cardiac rupture from a traffic accident was found by bronchoscopy to have a 7.5 cm longitudinal tear in the membranous portion of the trachea. Right posterolateral thoracotmy was conducted and open ventilation through the left main bronchus initiated with standby cardiopulmonary bypass cannulation of the right femoral artery and vein. When oxygenation was poor, extracorporeal circulation was initiated through the cannulated artery and vein. Under the cardiopulmonary bypass, we safely repaired the tracheal laceration and cardiac rupture.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kelly, JP, Webb WR, Moulder PV, Everson C, Burch BH, Lindsey ES. Management of airway trauma: tracheobronchial injuries. Ann Thorac Surg 1985; 40: 551–5.

    PubMed  CAS  Google Scholar 

  2. Kirsh MM, Orringer MB, Behrendt DM, Sloan H. Management of tracheobronchial disruption secondary to nonpenetrating trauma. Ann Thorac Surg 1976; 22: 93–101.

    PubMed  CAS  Google Scholar 

  3. Lazar HL, Thomashow B, King TC. Complete transection of the intrathoracic trachea due to blunt trauma. Ann Thorac Surg 1984; 37: 505–7.

    PubMed  CAS  Google Scholar 

  4. Howanitz EP, Buckley D, Galbraith TA, Murray KD, Myerowitz PD. Combined blunt traumatic rupture of the heart and aorta: 2 case reports and review of the literature. J Trauma 1990; 30: 506–8.

    PubMed  CAS  Google Scholar 

  5. Bintz M, Gall WE, Harbin D. Blunt myocardial disruption: report of an unusual case and literature review. J Trauma 1992; 33: 933–4.

    Article  PubMed  CAS  Google Scholar 

  6. Baumgartner F, Sheppard B, Virgilio C, Esrig B, Harrier D, Nelson RJ, et al. Tracheal and bronchial disruptions after blunt chest trauma: presentation and management. Ann Thorac Surg 1990; 50: 569–74.

    PubMed  CAS  Google Scholar 

  7. Leavitt B, Meyer JA, Morton JR, Clark DE, Herbert WE, Hiebert CA. Survival following nonpenetrating traumatic rupture of cardiac chambers. Ann Thorac Surg. 1987; 44: 532–5.

    PubMed  CAS  Google Scholar 

  8. Jones WS, Mavroudis C, Richardson JD, Gray LA Jr, Howe WR. Management of tracheobronchial disruption resulting from blunt trauma. Surgery 1984; 95: 319–23.

    PubMed  CAS  Google Scholar 

  9. Symbas PN, Justicz AG, Ricketts RR. Rupture of the airways from blunt trauma: treatment of complex injurues. Ann Thorac Surg 1992; 54: 177–83.

    Article  PubMed  CAS  Google Scholar 

  10. Doi K, Ohteki H, Sakai M, Furukawa K, Narita, Y. Application of heparin-coated PCPS for traumatic cardiac rupture (Eng abstr). Japanese J Thorac Surg 1998; 51: 817–20.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Daitoku, K., Sakai, T., Yamada, Y. et al. Successfully repaired traumatic tracheal disruption and cardiac rupture with cardiopulmonary support. Jpn J Thorac Caridovasc Surg 50, 70–73 (2002). https://doi.org/10.1007/BF02919668

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02919668

Key words

Navigation