Abstract
We report a case of delayed bronchial stenosis after blunt chest trauma with right aortic arch. A 21-year-old male passenger was involved in a traffic accident. He was brought to an emergency hospital with severe chest pain and dyspnea, and diagnosed with multiple rib fractures, right hemopneumothorax and chylothorax. He was treated with chest tube drainage and the symptoms subsided. About 9 weeks later, he complained of exertional dyspnea and was referred to our hospital. Bronchoscopy demonstrated circumferential stenosis of the right main bronchus approximately 1 cm distal to the carina. Thoracic computed tomography and magnetic resonance imaging revealed the right aortic arch. Successful resection of the bronchial stenotic lesion was performed followed by end-to-end anastomosis through midsternotomy due to the associated right aortic arch. Postoperative bronchoscopy revealed that the site of the anastomosis was patent and his symptoms were relieved.
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Johns WS, Mavroudis C, Richardson JD, Gray LA Jr, Howe WR. Management of tracheobronchial disruption resulting from blunt trauma. Surgery 1984; 95: 319–23.
Baumgartner F, Sheppard B, de Virgilio C, Esrig B, Harrier D, Nelson RJ, et al. Tracheal and main bronchial disruptions after blunt chest trauma: Presentation and management. Ann Thorac Surg 1990; 50: 569–74.
Bertelsen S, Howitz P. Injuries of the trachea and bronchi. Thorax 1972; 27: 188–94.
Ecker RR, Libertini RV, Rea WJ, Sugg WL, Webb WR. Injuries of the trachea and bronchi. Ann Thorac Surg 1971; 11:289–98.
Chesterman JT, Satsangi PN. Rupture of the trachea and bronchi by closed injury. Thorax 1966; 21: 21–7.
Dowd NP, Clarkson K, Walsh MA, Cunningham AJ. Delayed bronchial stenosis after blunt chest trauma. Anesth Analg 1996; 82: 1078–81.
Rossbach MM, Johnson SB, Gomez MA, Sako EY, Miller OL, Calhoon JH. Management of major tracheobronchial injuries: A 28-year experience. Ann Thorac Surg 1998; 65: 182–6.
Yamamoto H, Sakurai J, Oteki H, Natsuaki M, Ito T. Management of intrathoracic tracheal disruption due to blunt trauma (Eng abstr). Nippon Kyobu Geka Gakkai Zasshi 1986; 34: 886–91.
Koshiishi Y, Amemiya R, Matsushima Y, Okitsu H, Tajika E, Naito J. Successful re-construction for traumatic bronchial disruption of the right main bronchus (Eng abstr). Nippon Kyobu Geka Gakkai Zasshi 1988; 36: 1169–74.
Koizumi K, Shoji T, Tanaka S, Osaka S, Shioda M, Mashiko K. Successful re-construction for complete disruption of the right main bronchus by blunt chest trauma (Eng abstr). Nippon Kyobu Geka Gakkai Zasshi 1990; 38: 165–70.
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Chujo, M., Miura, T., Kawano, Y. et al. Delayed bronchial stenosis after blunt chest trauma with right aortic arch. Jpn J Thorac Caridovasc Surg 52, 78–80 (2004). https://doi.org/10.1007/s11748-004-0089-9
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DOI: https://doi.org/10.1007/s11748-004-0089-9