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Surgical Management of a Traumatic Mainstem Bronchus Avulsion.
Ann Thorac Surg Short Rep
December 2024
Department of Thoracic Surgery, Augusta University Medical Center, Augusta, Georgia.
Traumatic tracheobronchial tree injuries are rarely survivable. We present the case of a 31-year-old male patient who had a delayed discovery of a complete right mainstem bronchus avulsion following a motor vehicle collision. Despite initial respiratory stability, the patient rapidly deteriorated on hospital day 4.
View Article and Find Full Text PDFTracheobronchial injury after blunt thoracic trauma-lessons to learn in diagnosis, treatment, and postoperative care: a case series.
J Thorac Dis
September 2024
Section of Thoracic Surgery, Department of Visceral-, Transplant-, Thoracic and Vascular Surgery, University Hospital Leipzig, Leipzig, Germany.
Background: Tracheobronchial injury (TBI) is the subsuming term to describe rare and mostly traumatic damage to the tracheobronchial tree. Prehospital mortality is significant. TBI patients may face delayed diagnosis, challenging perioperative care, and prolonged recovery.
View Article and Find Full Text PDFThoracic trauma in children.
Turk Gogus Kalp Damar Cerrahisi Derg
January 2024
Department of Thoracic Surgery, Mersin University Faculty of Medicine, Mersin, Türkiye.
Isolated thoracic trauma is rare in children. Because of their small body size, the trauma often also affects other spaces, such as the abdomen and head, and these coexistences significantly increase the rate of mortality. However, in isolated thoracic traumas, the children can quickly recover if they can survive the initial period of trauma.
View Article and Find Full Text PDFVeno-venous extra-corporeal membrane oxygenation in complex tracheobronchial resection.
J Thorac Dis
February 2024
Thoracic Surgery Unit, Careggi University Hospital, Florence, Italy.
Article Synopsis
- This study reviews the use of veno-venous (VV) ECMO in thoracic surgery, focusing on its intraoperative application in 10 patients who had main airway surgeries from 2013 to 2022.
- The surgeries included resection and reconstruction for conditions like thoracic malignancies and traumatic injuries, with median ECMO use being 162.5 minutes, allowing extended ventilation interruptions.
- No perioperative deaths or significant complications were reported, and all patients remained alive 30 months post-surgery, suggesting VV-ECMO can enhance safety in complex airway procedures.
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