[Complete transection of the left main bronchus due to a blunt chest trauma: report of a case].
A 62-year-old man was injured in a traffic accident. A chest roentgenogram showed pneumothorax, hemothorax, subcutaneous and mediastinal emphysema, multiple rib fractures, and a shift of the trachea to the right. Bilateral thorax drainage was performed, and air leakage from a left chest tube was observed. A chest computed tomogram demonstrated stenosis and deformation of the left main bronchus. Bronchofiberscopy revealed complete obstruction of the left main bronchus by the left main pulmonary artery. An emergency thoracotomy revealed complete transection of the left main bronchus and laceration. End-to-end anastomosis of the left main bronchus was performed with interrupted 4-0 PDS II suture. The patient was discharged at the 33rd hospital day.
Kamiyoshihara
M
M
Department of Thoracic and Cardiovascular Surgery, Maebashi Red Cross Hospital, Maebashi, Japan.
Ishikawa
S
S
Ihara
N
N
Morishita
Y
Y
D000063:Accidents, Traffic; D001980:Bronchi / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture; D013908:Thoracotomy / Q000379:methods; D014949:Wounds, Nonpenetrating / Q000601:surgery*