Blunt tracheal transection and long tear in posterior membranous trachea.
Blunt tracheobronchial injuries are rare, but can be life-threatening. A precise preoperative diagnosis and a well-recognised plan of surgical treatment, which may be unique for each patient, are needed to restore the continuity of tracheobronchial tree in a one-stage intervention. We encountered a patient with complete tracheal transection and 15 cm tear in the posterior membranous trachea and right bronchus, and whose tracheal injury was difficult to repair using direct intubation of distal airway by bronchoscopy. We achieved a good result of one-stage repair using a percutaneous cardiopulmonary support (PCPS).
Ishibashi
Hironori
H
Department of General Thoracic Surgery, Shizuoka General Hospital, Shizuoka, Japan. hishiba@kf6.so-net.ne.jp
Ohta
Shin-ichiro
S
Hirose
Masahide
M
Akimoto
Takehide
T
D000328:Adult; D005112:Extracorporeal Circulation; D006801:Humans; D008297:Male; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging* / Q000601:surgery