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Surgical Repair of a Traumatic Tracheobronchial Injury in a Pediatric Patient Assisted with Venoarterial Extracorporeal Membrane Oxygenation

  • Suh, Jee Won (Division of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine) ;
  • Shin, Hong Ju (Department of Thoracic and Cardiovascular Surgery, Chungbuk National University College of Medicine) ;
  • Lee, Chang Young (Division of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine) ;
  • Song, Seung Hwan (Division of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine) ;
  • Narm, Kyoung Sik (Division of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Jin Gu (Division of Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine)
  • 투고 : 2016.11.10
  • 심사 : 2017.04.19
  • 발행 : 2017.10.05

초록

Tracheobronchial rupture due to blunt chest trauma is a rare but life-threatening injury in the pediatric population. Computed tomography (CT) is not always reliable in the management of these patients. An additional concern is that ventilation may be disrupted during surgical repair of these injuries. This report presents the case of a 4 -year-old boy with an injury to the lower trachea and carina due to blunt force trauma that was missed on the initial CT scan. During surgery, he was administered venoarterial extracorporeal membrane oxygenation (ECMO). Although ECMO is not generally used in children, this case demonstrated that the short-term use of ECMO during pediatric surgery is safe and can prevent intraoperative desaturation.

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참고문헌

  1. Ballouhey Q, Fesseau R, Benouaich V, et al. Management of blunt tracheobronchial trauma in the pediatric age group. Eur J Trauma Emerg Surg 2013;39:167-71. https://doi.org/10.1007/s00068-012-0248-0
  2. Ballouhey Q, Fesseau R, Benouaich V, Leobon B. Benefits of extracorporeal membrane oxygenation for major blunt tracheobronchial trauma in the paediatric age group. Eur J Cardiothorac Surg 2013;43:864-5. https://doi.org/10.1093/ejcts/ezs607
  3. Dominguez E, De La Torre C, Sanchez AV, et al. Severe tracheobronchial injuries: our experience. Eur J Pediatr Surg 2015;25:71-6.
  4. Hwang JJ, Kim YJ, Cho HM, Lee TY. Traumatic tracheobronchial injury: delayed diagnosis and treatment outcome. Korean J Thorac Cardiovasc Surg 2013;46:197-201. https://doi.org/10.5090/kjtcs.2013.46.3.197
  5. Juvekar NM, Deshpande SS, Nadkarni A, Kanitkar S. Perioperative management of tracheobronchial injury following blunt trauma. Ann Card Anaesth 2013;16:140-3. https://doi.org/10.4103/0971-9784.109772

피인용 문헌

  1. Use of a modified tracheal tube in a child with traumatic bronchial rupture: A case report and review of literature vol.9, pp.29, 2021, https://doi.org/10.12998/wjcc.v9.i29.8915