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Ann Thorac Surg 1991;52:1171-1172
© 1991 The Society of Thoracic Surgeons

Articles

Blunt traumatic rupture of pulmonary vein, left atrium, and bronchus

Peter P. McKeown, FRACS*, Alexander Rosemurgy, MD, Patricia Conant, MS

Divisions of Cardiovascular & Thoracic Surgery and General Surgery, University of South Florida, Tampa, Florida USA

Accepted for publication April 24, 1991.

* Address reprint requests to Dr McKeown, Division of Cardiovascular & Thoracic Surgery, Suite 730, 4 Columbia Dr, Tampa, FL 33606.

A 22-year-old man fell 12.2 m (40 ft), injuring the right lower lobe bronchus, right inferior pulmonary vein, and left atrium. These injuries were not associated with fractures, cardiac tamponade, or pneumothorax. The severity of injury became apparent only upon right thoracotomy for persistent hemorrhage. This case presented special diagnostic and surgical challenges and suggests a role for the increased use of bronchoscopy in major blunt chest trauma.




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