Left bronchial disruption and aortic rupture after blunt chest trauma.
A 25-year-old male who had been involved in a traffic accident presented with a neurological disorder, bilateral pneumothoraces, and pneumomediastinum. Bronchoscopy revealed a complex rupture of the left bronchial tract. MRI revealed a sinus valsalva aneurysm. The bronchial lesion was first repaired via left thoracotomy. 10 days later, the aorta was repaired via sternotomy. In cases of combined bronchial and aortic lesion, a concomitant repair is not mandatory, at least when the aortic lesion appears limited and shows no signs of dissection.
Baron
O
O
Thoracic and Cardiovascular Surgery Department, Laënnec Hospital, Boulevard J Monnod, 44093 Nantes Cedex, France. olivier.baron@chu-nantes.fr
Galetta
D
D
Roussel
J C
JC
Michaud
J L
JL
D000328:Adult; D001019:Aortic Rupture / Q000209:etiology* / Q000601:surgery; D001980:Bronchi / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D013514:Surgical Procedures, Operative; D013898:Thoracic Injuries / Q000150:complications* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000601:surgery