title: Right pulmonary hilar pedicle injury secondary to blunt chest trauma in a child.
abstract: Combined tracheobronchial and thoracic vascular injury in children following blunt trauma to the chest is potentially life-threatening and almost certain to be fatal unless managed promptly. We report one such incident where prompt identification and early aggressive surgical management prevented an almost certain fatal outcome in a 5-year-old girl with complete disruption of the right main bronchus just distal to the carina, and a tear in the right pulmonary artery.
authors.affiliation: Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children NHS Trust, London, UK.
authors.forename: Nagarajan
authors.initials: N
authors.lastname: Muthialu
authors.forename: Aparna
authors.initials: A
authors.lastname: Hoskote
authors.forename: Ranjit
authors.initials: R
authors.lastname: Deshpande
authors.forename: Paula
authors.initials: P
authors.lastname: Lister
mesh_terms: D000063:Accidents, Traffic; D001980:Bronchi / Q000293:injuries* / Q000601:surgery; D001995:Bronchography / Q000379:methods; D002675:Child, Preschool; D005260:Female; D006801:Humans; D055370:Lung Injury / Q000175:diagnosis / Q000601:surgery; D011013:Pneumonectomy; D011237:Predictive Value of Tests; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D012123:Pulmonary Ventilation; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D057772:Vascular System Injuries / Q000175:diagnosis / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000601:surgery
keywords: Bronchi; high-frequency jet ventilation; nonpenetrating; thoracic injuries; vascular system injuries; wounds