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Bronchoplasty of Ruptured Segmental Bronchus from Penetrating Thoracic Injury

Other Title
관통성 흉부손상에 의한 구역기관지 파열의 기관지성형술
Authors
류, 한영; 김, 정태; 김, 대준; 임, 상현; 노, 환규; 소, 동문; 이, 철주; 송, 영구; 황, 성철
Citation
Ajou medical journal, 1(2):526-530, 1996
Journal Title
Ajou medical journal; 아주의학
ISSN
1226-3265
Abstract
Rupture of segmental bronchus is an uncommon injury, although the frequency of penetrating chest trauma continues to escalate. Early diagnosis and meticulous repair are essential for good chinical results in there patients. Here we report a successful management of the segmental bronchial rupture resulting from a penetrating thoracic injury.

The patient is a 38 years old male who was injured while riding a motorcycle by its handle on the left chest. The initial symptoms were dyspnea and chest pain. An open wound with foreign body was visible on the anterior axillary line of the left chest. The preoperative chest x-ray revealed a hemopneumothorax, and a foreign body density in the left chest. Cardiac injury was ruled out using computed tomography of the chest.

The operation was performed with a standard left posterolateral thoracotomy incision through the fifth intercostal space. There were ruptures of the anteromedial basal and superior segments of the left lower lobe with deep lung laceration. Also massive air leakage was observed through the wound sites. Injury of the major vessels and heart was not seen.

The bronchoplasty with debridment of the ruptured bronchial edges and primary anastomosis with interrupted nonabsorbable sutures was performed successfully.

The postoperative course was uneventful.
Keywords
BronchoplastySegmental bronchusPenetrating injury
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Thoracic & Cardiovascular Surgery
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