Bronchial repair with pulmonary preservation for severe blunt trauma

G. Rocco, M. Allen

Research output: Contribution to journalArticlepeer-review

Abstract

After a motorcycle accident, a 22-year-old male was diagnosed with multiple rib fractures, left-sided tension pneumothorax, hemothorax and left upper lobe bronchus rupture at its origin. An emergency left thoracotomy revealed an almost complete avulsion of the upper lobe bronchus from the main stem bronchus, a severely damaged pulmonary artery, and a concurrent deep intraparenchymal lower lobe laceration. Since the patient was hemodynamically stable, a decision was made to preserve as much lung as possible. In the event of complex pulmonary trauma, pulmonary preservation is desirable since emergency pneumonectomy is usually associated with high mortality. Early bronchoscopic assessment, careful anesthetic management, and meticulous surgical technique with liberal use of fibrin glue were crucial to successful outcome.

Original languageEnglish
Pages (from-to)231-233
Number of pages3
JournalThoracic and Cardiovascular Surgeon
Volume49
Issue number4
DOIs
Publication statusPublished - 2001

Keywords

  • Blunt thoracic trauma
  • Bronchial avulsion
  • Fibrin glue

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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