Emergency sleeve lobectomy after blunt chest trauma in a child.
The clinical features and successful management of a patient with right main bronchus disruption after blunt chest trauma are described. The presentation was one of bilateral tension pneumothoraces. A high index of suspicion, coupled with appropriate airway management at presentation, was vital for the successful treatment of this patient. Surgical resection using a sleeve lobectomy, an operation rarely used in trauma patients, was highly effective in this patient, and the technique is described in this report.
Department of Cardiothoracic Surgery, Mater Misericordiae Hospital, Dublin, Ireland.
J F
JF
McCarthy
L P
LP
Claffey
F
F
O'Donovan
E J
EJ
Guiney
D A
DA
Luke
D000063:Accidents, Traffic; D000328:Adult; D001980:Bronchi / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000601:surgery*; D055370:Lung Injury; D008297:Male; D011013:Pneumonectomy / Q000379:methods; D012121:Respiration, Artificial; D013898:Thoracic Injuries / Q000601:surgery* / Q000628:therapy; D014949:Wounds, Nonpenetrating / Q000601:surgery* / Q000628:therapy