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Bronchial and cardiac ruptures due to blunt trauma

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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.

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References

  1. Karmy-Jones R, Wood DE. Traumatic injury to the trachea and bronchus. Thorac Surg Clin 2007;17:35–46.

    Article  PubMed  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.

    Article  PubMed  CAS  Google Scholar 

  3. Johnson SB. Tracheobronchial injury. Semin Thorac Cardiovasc Surg 2008;20:52–57.

    Article  PubMed  Google Scholar 

  4. Scaglione M, Romano S, Pinto A, Sparano A, Scialpi M, Rotondo A. Acute tracheobronchial injuries: impact of imaging on diagnosis and management implications. Eur J Radiol 2006;59:336–343.

    Article  PubMed  Google Scholar 

  5. Kuhne CA, Kaiser GM, Flohe S, Beiderlinden M, Kuehl H, Stavrou GA, et al. Nonoperative management of tracheobronchial injuries in severely injured patients. Surg Today 2005;35:518–523.

    Article  PubMed  Google Scholar 

  6. Tenzer ML. The spectrum of myocardial contusion: a review. J Trauma 1986;25:620–628.

    Article  Google Scholar 

  7. Schick EC Jr. Nonpenetrating cardiac trauma. Cardiol Clin 1995;13:241–247.

    PubMed  Google Scholar 

  8. Hakuba T, Minato N, Minematsu T, Kamohara K. Surgical management and treatment of a traumatic right atrial rupture. Gen Thorac Cardiovasc Surg 2008;56:551–554.

    Article  PubMed  Google Scholar 

  9. Fitzgerald M, Spencer J, Johnson F, Marasco S, Atkin C, Kossmann T. Definitive management of acute cardiac tamponade secondary to blunt trauma. Emerg Med Aust 2005;17:494–499.

    Article  Google Scholar 

  10. Daitoku K, Sakai T, Yamada Y, Tsushima T, Koyama M, Takaya S. Successfully repaired traumatic tracheal disruption and cardiac rupture with cardiopulmonary support. Gen Thorac Cardiovasc Surg 2002;50:70–73.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Kagawa Prefectural Central Hospital, 5-4-16 Ban-cho, Takamatsu, Kagawa, 760-8557, Japan

    Takahiko Misao, Takeshi Yoshikawa, Motoi Aoe, Norichika Iga & Masashi Furukawa

  2. Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital, Kagawa, Japan

    Takanori Suezawa & Mamoru Tago

Authors
  1. Takahiko Misao
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  2. Takeshi Yoshikawa
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  3. Motoi Aoe
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  4. Norichika Iga
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  5. Masashi Furukawa
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  6. Takanori Suezawa
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  7. Mamoru Tago
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Correspondence to Takahiko Misao.

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Misao, T., Yoshikawa, T., Aoe, M. et al. Bronchial and cardiac ruptures due to blunt trauma. Gen Thorac Cardiovasc Surg 59, 216–219 (2011). https://doi.org/10.1007/s11748-010-0638-3

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  • DOI: https://doi.org/10.1007/s11748-010-0638-3

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