Successfully repaired traumatic tracheal disruption and cardiac rupture with cardiopulmonary support.
A 19-year-old man suffering from dyspnea associated with tracheal and cardiac rupture from a traffic accident was found by bronchoscopy to have a 7.5 cm longitudinal tear in the membranous portion of the trachea. Right posterolateral thoracotomy was conducted and open ventilation through the left main bronchus initiated with standby cardiopulmonary bypass cannulation of the right femoral artery and vein. When oxygenation was poor, extracorporeal circulation was initiated through the cannulated artery and vein. Under the cardiopulmonary bypass, we safely repaired the tracheal laceration and cardiac rupture.
Daitoku
Kazuyuki
K
Department of Surgery 1, Hirosaki University School of Medicine, Hirosaki, Japan.
Sakai
Takehiro
T
Yamada
Yoshitsugu
Y
Tsushima
Takao
T
Koyama
Masayuki
M
Takaya
Shunichi
S
D000063:Accidents, Traffic; D000328:Adult; D001999:Bronchoscopy; D002315:Cardiopulmonary Bypass / Q000379:methods*; D005263:Femoral Artery; D005268:Femoral Vein; D006325:Heart Atria / Q000293:injuries / Q000601:surgery; D006335:Heart Injuries / Q000601:surgery*; D006801:Humans; D007430:Intraoperative Care; D022125:Lacerations / Q000601:surgery; D008297:Male; D013908:Thoracotomy; D014132:Trachea / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000601:surgery*