Thorac Cardiovasc Surg 2007; 55(7): 447-449
DOI: 10.1055/s-2007-965378
Original Thoracic

© Georg Thieme Verlag KG Stuttgart · New York

Effective Management of Main Bronchial Rupture in Patients with Chest Trauma

Y. Zhao1 , 2 , 3 , J. Jiao1 , Z. Shan2 , Q. Fan2 , J. Hu4 , Q. Zhang3 , X. Zhu5
  • 1The Affiliated Hospital, Hainan Medical College, Haikou, P. R. China
  • 2The Affiliated Zhongshan Hospital, Xiamen University, Xiamen, P. R. China
  • 3Department of Cardiothoracic Surgery, The Third Xiangya Hospital, Central South University, Changsha, P. R. China
  • 4Department of Internal Medicine, Yiyang Central Hospital, Yiyang, P. R. China
  • 5Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
Further Information

Publication History

received March 20, 2007

Publication Date:
28 September 2007 (online)

Abstract

Background: The purpose of the current study was to investigate the most effective diagnostic method and the effect of surgical treatment on traumatic main bronchial rupture. Methods: Chest X-rays, CT and fiberoptic bronchoscopy were the main means used to confirm the diagnosis. Surgery was performed as early as possible. Results: Pneumonectomy was performed in 1 patient. Bronchial end-to-end anastomosis was performed in 10 patients whose lungs were well ventilated, and lung function recovered. Conclusion: Main bronchial rupture occurs relatively rarely. Early diagnosis and operative intervention can save lives.

References

  • 1 Gabor S, Renner H, Pinter H, Sankin O, Maier A, Tomaselli F, Smolle-Juttner F M. Indications for surgery in tracheobronchial ruptures.  Eur J Cardiothorac Surg. 2001;  20 399-404
  • 2 Helmy N, Platz A, Stocker R, Trentz O. Bronchus rupture in multiple injured patients with blunt chest trauma.  Eur J Trauma. 2002;  28 31-34
  • 3 Rossbach M M, Johnson S B, Gomez M A, Sako E Y, Miller O L, Calhoon J H. Management of major tracheobronchial injuries: a 28-year experience.  Ann Thorac Surg. 1998;  65 182-186
  • 4 Ramzy A I, Rodriguez A, Turney S Z. Management of major tracheobronchial ruptures in patients with multiple system trauma.  J Trauma. 1988;  28 1353-1357
  • 5 Grant W J, Meyers R L, Jaffe R L, Johnson D G. Tracheobronchial injuries after blunt chest trauma in children - hidden pathology.  J Pediatr Surg. 1998;  33 1707-1711
  • 6 Barmada H, Gibbons J R. Tracheobronchial injury in blunt and penetrating chest trauma.  Chest. 1994;  106 74-78
  • 7 Endress C, Guyot D R, Engels J A. The “fallen lung with absent hilum” signs of complete bronchial transection.  Ann Emerg Med. 1991;  20 317-318
  • 8 Hofmann H S, Rettig G, Radke J, Neef H, Silber R E. Iatrogenic ruptures of the tracheobronchial tree.  Euro J Cardiothorac Surg. 2002;  21 649-652
  • 9 Balci A E, Eren N, Eren S, Ulku R. Surgical treatment of post-traumatic tracheobronchial injuries: 14-year experience.  Euro J Cardiothorac Surg. 2002;  22 984-989
  • 10 Santambrogio L, Nosotti M, Cioffi U, De Simone M, Pavoni G, Testori A. Extended membranous tracheobronchial rupture after tracheal intubation.  Int Surg. 1998;  83 106-107
  • 11 Borasio P, Ardissone F, Chiampo G. Post intubation tracheal rupture. A report on ten cases.  Euro J Cardiothorac Surg. 1997;  12 98-100
  • 12 Berry M, Van Schil P, Van Meerbeeck J, Vanmaele R, Eyskens E. Surgical treatment of iatrogenic tracheal lacerations.  Acta Chir Belg. 1997;  97 308-310
  • 13 Wu M H, Tseng Y L, Lin M Y, Lai W W. Surgical results of 23 patients with tracheobronchial injuries.  Respirol. 1997;  2 127-130
  • 14 Kaloud H, Smolle-Juttner F M, Prause G, List W F. Iatrogenic ruptures of the tracheobronchial tree.  Chest. 1997;  112 774-778
  • 15 Velly J F, Martigne C, Moreau J M, Dubrez J, Kerdi S, Couraud L. Post traumatic tracheobronchial lesion. A follow-up study of 47 cases.  Eur J Cardiothorac Surg. 1991;  5 352-355
  • 16 Schultz S C, Hammon Jr J W, Turner C S, McGuirt Jr W F, Nelson J M. Surgical management and follow up of a complex tracheobronchial injury.  Ann Thorac Surg. 1999;  67 834-836

Prof. MD, PhD Yongxiang Zhao

The Affiliated Hospital
Hainan Medical College

Haikou, Hainan 571101

P. R. China

Phone: + 86 8 98 31 35 09 58

Fax: + 86 8 98 31 35 09 98

Email: yongxiang_zhao@126.com

    >