title: [Injury to the right A. pulmonalis due to blunt thoracic trauma].
abstract: Immediately after a moped accident a 16-year old patient was haemodynamically unstable. Following adequate drainage of a haematopneumothorax in the hospital the patient collapsed into a shock. Thoractomy revealed a tear of the right A. pulmonalis. The hilus was clamped and a lobectomy was performed. After this the patient was haemodynamically stable; due to bone and nerve damage he was transferred to a rehabilitation centre. Laceration of the A. pulmonalis as a consequence of blunt thoracic trauma is rare and mostly fatal. In the case of a patient with a massive haematothorax rapid transport to the nearest hospital is preferable to thorax drainage at the site of the accident.
authors.affiliation: Medisch Spectrum Twente, afd. Chirurgie, Postbus 50.000, 7500 KA Enschede.
authors.forename: M I
authors.initials: MI
authors.lastname: Amir
authors.forename: J M
authors.initials: JM
authors.lastname: Klaase
authors.forename: R H
authors.initials: RH
authors.lastname: Geelkerken
authors.forename: H J
authors.initials: HJ
authors.lastname: Mulder
authors.forename: A D
authors.initials: AD
authors.lastname: van Walsum
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D004322:Drainage; D006468:Hemopneumothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D009049:Motorcycles; D011013:Pneumonectomy; D011651:Pulmonary Artery / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D013898:Thoracic Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D013908:Thoracotomy; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000473:pathology*