Successful Delayed Repair of a Complete Transection of the Right Mainstem Bronchus in a Five-Year-Old Girl

Shabb, Basem; Taha, Assad; Nabbout, Ghassan; Haddad, R.

doi:10.1097/00005373-199506000-00029

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…Mortality decreases and repair success increases with extension of the delay[ 16 , 18 ]. Delayed repair of the bronchus can result in favorable outcomes as shown in the index case and in the literature[ 30 - 33 ]. If the patient’s hemodynamic status is unstable, postponing surgery is preferable[ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Use of a modified tracheal tube in a child with traumatic bronchial rupture: A case report and review of literature

Fan¹,

Yang²

2021

WJCC

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BACKGROUND Trauma is one of the leading causes of death in the pediatric population. Bronchial rupture is rare, but there are potentially severe complications. Establishing and maintaining a patent airway is the key issue in patients with bronchial rupture. Here we describe an innovative method for maintaining a patent airway. CASE SUMMARY A 3-year-old boy fell from the seventh floor. Oxygenation worsened rapidly with pulse oxygen saturation decreasing below 60%, as his heart rate dropped. Persistent pneumothorax was observed with insertion of the chest tube. Fiberoptic bronchoscopy was performed, which confirmed the diagnosis of bronchial rupture. A modified tracheal tube was inserted under the guidance of a fiberoptic bronchoscope. Pulse oxygen saturation improved from 60% to 90%. Twelve days after admission, right upper lobectomy was performed using bronchial stump suture by video-assisted thoracic surgery without complications. A follow-up chest radiograph showed good recovery. The child was discharged from hospital three months after admission. CONCLUSION A modified tracheal tube could be selected to ensure a patent airway and adequate ventilation in patients with bronchial rupture.

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