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The Annals of Thoracic Surgery, Vol 45, 682-683, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Traumatic rupture of ascending aorta and left main bronchus

SH Sadow, CA Murray 3d, RF Wilson, S Mansoori and SD Harrington
Department of Surgery, Wayne State University, MI.

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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