Bronchial and cardiac ruptures due to blunt trauma

Takahiko Misao, Takeshi Yoshikawa, Motoi Aoe, Norichika Iga, Masashi Furukawa, Takanori Suezawa, Mamoru Tago

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)216-219
Number of pages4
JournalGeneral Thoracic and Cardiovascular Surgery
Volume59
Issue number3
DOIs
Publication statusPublished - Mar 1 2011
Externally publishedYes

Fingerprint

Heart Rupture
Bronchoscopy
Bronchi
Tears
Sutures
Thorax
Intercostal Muscles
Surgical Flaps
Sternotomy
Pericardial Effusion
Traffic Accidents
Lacerations
Emphysema
Wounds and Injuries
Thoracotomy
Heart Atria
Cardiopulmonary Bypass
Rupture
Tomography
Myocardial Contusions

Keywords

  • Atrial rupture
  • Blunt trauma
  • Bronchial rupture
  • Cardiac rupture
  • Tracheobronchial injury

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Bronchial and cardiac ruptures due to blunt trauma. / Misao, Takahiko; Yoshikawa, Takeshi; Aoe, Motoi; Iga, Norichika; Furukawa, Masashi; Suezawa, Takanori; Tago, Mamoru.

In: General Thoracic and Cardiovascular Surgery, Vol. 59, No. 3, 01.03.2011, p. 216-219.

Research output: Contribution to journalArticle

Misao, T, Yoshikawa, T, Aoe, M, Iga, N, Furukawa, M, Suezawa, T & Tago, M 2011, 'Bronchial and cardiac ruptures due to blunt trauma', General Thoracic and Cardiovascular Surgery, vol. 59, no. 3, pp. 216-219. https://doi.org/10.1007/s11748-010-0638-3
Misao, Takahiko ; Yoshikawa, Takeshi ; Aoe, Motoi ; Iga, Norichika ; Furukawa, Masashi ; Suezawa, Takanori ; Tago, Mamoru. / Bronchial and cardiac ruptures due to blunt trauma. In: General Thoracic and Cardiovascular Surgery. 2011 ; Vol. 59, No. 3. pp. 216-219.
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