DOI QR코드

DOI QR Code

Concomitant Avulsion Injury of the Subclavian Vessels and the Main Bronchus Caused by Blunt Trauma

  • Noh, Dongsub (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Lee, Chan-kyu (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Hwang, Jung Joo (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Cho, Hyun Min (Department of Trauma and Surgical Critical Care, Pusan National University Hospital)
  • Received : 2017.08.14
  • Accepted : 2017.10.23
  • Published : 2018.04.05

Abstract

Concomitant rupture of the subclavian vessels and the left main bronchus caused by blunt trauma is a serious condition. Moreover, the diagnosis of a tracheobronchial injury with rupture of the subclavian vessels can be difficult. This report describes the case of a 33-year-old man who suffered from blunt trauma that resulted in the rupture of the left subclavian artery and vein. The patient underwent an operation for vascular control. O n postoperative day 3, the left main bronchus was found to be transected on a computed tomography scan and bronchoscopy. The transected bronchus was anastomosed in an end-to-end fashion. He recovered without any notable problems. Although the bronchial injury was not detected early, this case of concomitant rupture of the great vessels and the airway was successfully treated after applying extracorporeal membrane oxygenation.

Keywords

References

  1. Hirose H, Gill IS. Blunt injury of proximal innominate artery. Ann Thorac Cardiovasc Surg 2004;10:130-2.
  2. Mahmodlou R, Sepehrvand N. Tracheobronchial injury due to blunt chest trauma. Int J Crit Illn Inj Sci 2015;5:116-8. https://doi.org/10.4103/2229-5151.158417
  3. Vantroyen B, De Baetselier H. Tracheal rupture after blunt trauma. Eur J Trauma Emerg Surg 2008;34:410-3. https://doi.org/10.1007/s00068-008-7115-z
  4. Alfici R, Ashkenazi I, Kounavsky G, Kessel B. Total pulmonectomy in trauma: a still unresolved problem: our experience and review of the literature. Am Surg 2007;73: 381-4.
  5. Noh DS, Park NH, Kim JB, Kim HT, Yoon KC, Choi SY. Innominate artery rupture after blunt chest trauma. Korean J Thorac Cardiovasc Surg 2007;40:871-3.

Cited by

  1. Intrathoracic shoulder dislocation causing rupture of the right main bronchus vol.140, pp.4, 2018, https://doi.org/10.1007/s00402-019-03242-3