Effective management of main bronchial rupture in patients with chest trauma

Thorac Cardiovasc Surg. 2007 Oct;55(7):447-9. doi: 10.1055/s-2007-965378.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anastomosis, Surgical
  • Bronchi / injuries*
  • Bronchi / pathology
  • Bronchi / physiopathology
  • Bronchi / surgery*
  • Bronchoscopy / methods
  • Early Diagnosis
  • Female
  • Fiber Optic Technology
  • Humans
  • Male
  • Pneumonectomy*
  • Radiography, Thoracic
  • Respiratory Function Tests
  • Rupture
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Wounds, Nonpenetrating / diagnostic imaging
  • Wounds, Nonpenetrating / pathology
  • Wounds, Nonpenetrating / physiopathology
  • Wounds, Nonpenetrating / surgery*
  • Wounds, Penetrating / diagnostic imaging
  • Wounds, Penetrating / pathology
  • Wounds, Penetrating / physiopathology
  • Wounds, Penetrating / surgery*