Successfully repaired traumatic tracheal disruption and cardiac rupture with cardiopulmonary support

Daitoku, Kazuyuki; Sakai, Takehiro; Yamada, Yosuke; Tsushima, Takao; Koyama, Masayuki; Takaya, Shunichi

doi:10.1007/bf02919668

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…We found only one case report of airway and cardiac injuries in Japan in which tracheal and atrial ruptures due to blunt trauma had been successfully repaired with cardiopulmonary support. 10 Therefore, our case is extremely rare.…”

Section: Discussionmentioning

confidence: 90%

Bronchial and cardiac ruptures due to blunt trauma

Misao

Yoshikawa

Aoe

et al. 2011

Gen Thorac Cardiovasc Surg

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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.

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Section: Discussionmentioning

confidence: 90%

Bronchial and cardiac ruptures due to blunt trauma

Misao

Yoshikawa

Aoe

et al. 2011

Gen Thorac Cardiovasc Surg

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“…When the lesion has been extended into carina or both main bronchi, an apneic oxygenation with selective intubation and a cardiopulmonary bypass could be required [14] [15].…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Management in Proximal Tracheal Rupture during Total Thyroidectomy

Ovejero-Gomez¹,

Bermudez-Garcia²,

Lamfus-Prieto³

et al. 2014

CRCM

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Tracheal disruption is a life-threatening rare complication of total thyroidectomy that it should be prevented. The own-patient risk factors, procedure of tracheal intubation and a meticulous surgical technique are three main keys to keep in mind. Both medical and surgical management of this injury depends on its size, location and patient's symptoms although neither of them prevents late complications. An early diagnosis could improve with prognosis although it is mandatory to perform either respiratory functional or imaging study in order to assume its healing. When the tracheal laceration is diagnosed during the surgery, we should take care with a continuous monitoring of the patient's vital signs. A good oxygenation will be succeeded in high volume and low pressure with endotracheal tube distal to the lesion. We advice placing a tube drain near the disruption to prevent emphysema and an early extubation to avoid an ischaemic damage of the mucosa. A postoperative suspicion of tracheal rupture could demand reintubation with the patient in full relaxation and an examination by CT-scan or fiberscope before deciding a simple supportive therapy. We present our therapeutic experience in a female patient who suffered from tracheal injury during total thyroidectomy and describe a review of literature.

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Successfully repaired traumatic tracheal disruption and cardiac rupture with cardiopulmonary support

Cited by 2 publications

References 9 publications

Bronchial and cardiac ruptures due to blunt trauma

Bronchial and cardiac ruptures due to blunt trauma

Therapeutic Management in Proximal Tracheal Rupture during Total Thyroidectomy

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