title: Successfully repaired traumatic tracheal disruption and cardiac rupture with cardiopulmonary support.
abstract: 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.
authors.affiliation: Department of Surgery 1, Hirosaki University School of Medicine, Hirosaki, Japan.
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Daitoku
authors.forename: Takehiro
authors.initials: T
authors.lastname: Sakai
authors.forename: Yoshitsugu
authors.initials: Y
authors.lastname: Yamada
authors.forename: Takao
authors.initials: T
authors.lastname: Tsushima
authors.forename: Masayuki
authors.initials: M
authors.lastname: Koyama
authors.forename: Shunichi
authors.initials: S
authors.lastname: Takaya
mesh_terms: 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*