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Samuel H. Sadow
Robert F. Wilson
Shahrokh Mansoori
Steven D. Harrington
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Ann Thorac Surg 1988;45:682-683
© 1988 The Society of Thoracic Surgeons

Articles

Traumatic Rupture of Ascending Aorta and Left Main Bronchus

Samuel H. Sadow, M.D., Charles A. Murray, III, M.D., Robert F. Wilson, M.D.*, Shahrokh Mansoori, M.D., Steven D. Harrington, M.D.

Department of Surgery, Wayne State University and Detroit Receiving Hospital, Detroit, MI

Accepted for publication October 15, 1987.

* Address reprint requests to Dr. Wilson, Department of Surgery, 4201 St. Antoine, Detroit, MI 48201

A 14-year-old male pedestrian was hit by a truck and admitted with respiratory distress and subcutaneous emphysema. Aortography revealed disruption of the ascending aorta. Bronchoscopy revealed rupture of the left main bronchus at the carina. Both lesions were repaired using a median sternotomy, cardiopulmonary bypass, and a transpericardial approach for the bronchial repair. To our knowledge, this is the first report of successful repair of a combined rupture of a major bronchus and the ascending aorta.




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