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Tracheal/Bronchial Rupture

  • Huibin Lu
  • Xinwei Han
  • Yonghua Bi
Chapter

Abstract

Tracheal and/or bronchial rupture occurs in severe chest injuries or crush injuries. With more and more traffic accidents in recent years, closed tracheal and bronchial ruptures have become more common and one of the reasons for early death after chest trauma. Tracheal and main bronchial rupture occurs mainly in closed and opened trauma of the neck and chest. Of the 200 cases of closed tracheal and main bronchial rupture found in the reported literature, the mortality rate was 30%, and more than half of those deaths were within 1 h after injury. With the increase in vehicle trauma, this type of damage has become more common. Tracheal rupture itself is not the direct cause of death, but the tracheal rupture is generally accompanied by peripheral vascular and tissue damage, which easily leads to suffocation by clotting or foreign matter inhalation in the ruptured trachea. Mediastinum emphysema is secondary to rupture, and the increasing emphysema pressure can compress the airway, leading to tracheal stenosis. If these patients are not treated in time, they will die from hypoxia.

References

  1. 1.
    Tejero-Mogena A, Legaristi-Martinez N, Aced-Urbano A. Pneumopericardium in a patient with tracheal rupture after multiple injuries from a traffic accident. Med Intensiva. 2016;40(1):68.CrossRefGoogle Scholar
  2. 2.
    Laughland F, Brand J, Round S, Khan K. Iatrogenic tracheal rupture during cardiac arrest. J Cardiothorac Vasc Anesth. 2018;32(3):1403–6.CrossRefGoogle Scholar
  3. 3.
    Bazarov DV, Eremenko AA, Babaev MA, et al. Post-intubation tracheal rupture during transcatheter aortic valve implantation. Khirurgiia (Mosk). 2017;7:54–8.Google Scholar
  4. 4.
    Heyes R, Cervantes SS, Matthaeus J, Jaroszewski D, Lott DG. Balloon dilation causing tracheal rupture: endoscopic management and literature review. Laryngoscope. 2016;126(12):2774–7.CrossRefGoogle Scholar
  5. 5.
    Gómez-Hernández MT, Rodríguez-Pérez M, Varela-Simó G. Acute respiratory distress due to post-tracheostomy tracheal rupture treated with venovenous extracorporeal membrane oxygenation and endotracheal prosthesis. Arch Bronconeumol. 2016;52(6):337–8.CrossRefGoogle Scholar
  6. 6.
    Kumar S, Goel S, Bhalla AS. Spontaneous tracheal rupture in a case of interstitial lung disease (ILD): a case report. J Clin Diagn Res. 2015;9(6):TD01–2.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Capasso R, Carbone M, Rossi E, et al. A 4-year-old child presenting morning onset of spontaneous tracheal rupture due to bronchial mucous plug occlusion during the nighttime sleep: a case report. J Med Case Rep. 2016;10(1):141.CrossRefGoogle Scholar
  8. 8.
    Panagiotopoulos N, Patrini D, Barnard M, Koletsis E, Dougenis D, Lawrence D. Conservative versus surgical management of iatrogenic tracheal rupture. Med Princ Pract. 2017;26(3):218–20.CrossRefGoogle Scholar
  9. 9.
    Han X, Mu Q, Liu C, et al. Covered stent implantation in the treatment of tracheal rupture after thyroidectomy. J Vasc Interv Radiol. 2016;27(11):1758–61.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Huibin Lu
    • 1
  • Xinwei Han
    • 1
  • Yonghua Bi
    • 1
  1. 1.Department of Interventional RadiologyThe First Affiliated Hospital of Zhengzhou UniversityZhengzhouChina

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