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15.09.2020 | Case report

Complex bronchial ruptures in blunt thoracic trauma: management and outcome

Zeitschrift:
Indian Journal of Thoracic and Cardiovascular Surgery
Autoren:
Hassan Jamal Eddine, Walid Abu Arab, Ahmed AlSaleh, Haisam Saad, Salah Termos
Wichtige Hinweise

Meeting Presentation

The preliminary work was presented as an oral presentation at the annual meeting of the World Society of Cardiovascular and Thoracic Surgery (WSCTS2015) that was held at Edinburgh, Scotland, during 19–22 September 2015. The abstract including the preliminary work was published on-line by the Journal of Cardiovascular Surgery under the title (Management of Complex Bronchial Ruptures in Blunt Trauma).

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Abstract

Complex bronchial ruptures are rare. Primary surgical repair is the preferred procedure. The aim of this retrospective case series was to study the clinical presentation of these complex bronchial injuries and their management and outcomes. Patients with injuries to the trachea or those who had simple single bronchial rupture and isolated lobar and segmental injuries were excluded. Twenty-one patients were operated for bronchial rupture due to blunt chest trauma. Seven patients had complex bronchial injuries and had right bronchial tree injury (n = 3), left bronchial tree injury (n = 3), and rupture of both right and left main bronchi (n = 1). Fibreoptic bronchoscopy established the diagnosis in all patients. Postoperative complications included atelectasis in four patients (57%) and left recurrent laryngeal nerve paralysis (n = 1; 14.3%), and one patient required tracheostomy (14.3%). All patients had follow-up bronchoscopy 2 months later, which showed no stenosis or scar formation in any of the patients. We concluded that primary repair of complex bronchial injuries, with preservation of the normal functioning lung, is the preferred option as it carries favorable immediate- and long-term results.

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