[Injury to the right A. pulmonalis due to blunt thoracic trauma].
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.
Amir
M I
MI
Medisch Spectrum Twente, afd. Chirurgie, Postbus 50.000, 7500 KA Enschede.
Klaase
J M
JM
Geelkerken
R H
RH
Mulder
H J
HJ
van Walsum
A D
AD
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*