title: Bronchial and cardiac ruptures due to blunt trauma.
abstract: Tracheobronchial and cardiac injuries following blunt thoracic trauma are uncommon but can be life-threatening. We report a case in which the patient with bronchial and right atrial ruptures due to blunt trauma survived after emergent repairs. An 18-year-old female driver was transported to our hospital after a traffic accident and was hemodynamically stable on arrival. Chest computed tomography revealed cervicomediastinal emphysema and hemopericardium, and fiberoptic bronchoscopy showed a tear in the right main bronchus. She was intubated with a double-lumen endotracheal tube guided by bronchoscopy. A median sternotomy was undertaken, and a laceration of the right atrium was oversewn without the use of cardiopulmonary bypass. After that, right-sided thoracotomy was performed. The tear in the membranous portion of the right main bronchus was repaired with interrupted sutures, and the suture lines were wrapped with a pedicled flap of intercostal muscle.
authors: Department of Surgery, Kagawa Prefectural Central Hospital, 5-4-16 Ban-cho, Takamatsu, Kagawa 760-8557, Japan. misaotmd@ybb.ne.jp
authors: Takahiko
authors: T
authors: Misao
authors: Takeshi
authors: T
authors: Yoshikawa
authors: Motoi
authors: M
authors: Aoe
authors: Norichika
authors: N
authors: Iga
authors: Masashi
authors: M
authors: Furukawa
authors: Takanori
authors: T
authors: Suezawa
authors: Mamoru
authors: M
authors: Tago
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D001980:Bronchi / Q000293:injuries / Q000601:surgery*; D001999:Bronchoscopy; D006348:Cardiac Surgical Procedures; D005260:Female; D006325:Heart Atria / Q000293:injuries / Q000601:surgery; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D056346:Sternotomy; D013524:Surgical Flaps; D013536:Suture Techniques; D019616:Thoracic Surgical Procedures; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*