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Ann Thorac Surg 1999;67:834-836
© 1999 The Society of Thoracic Surgeons

Case Reports

Surgical management and follow-up of a complex tracheobronchial injury

Scot C. Schultz, MDa, John W. Hammon, Jr, MDa, Charles S. Turner, MDb, Will F. McGuirt, Jr, MDc, Jean M. Nelson, MDd

a Cardiothoracic Surgery, Section of Pediatric Surgery, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, USA
b General Surgery, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, USA
c Otolaryngology, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, USA
d Anesthesiology, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, USA

Accepted for publication August 13, 1998.

Address reprint requests to Dr Hammon, Jr, Department of Cardiothoracic Surgery, Wake Forest University Medical Center, Medical Center Blvd, Winston-Salem, NC 27157-1096

Tracheobronchial trauma is an uncommon condition with potentially devastating consequences. Appropriate pre-, intra-, and postoperative management is mandatory for a satisfactory functional outcome. We report a case of extensive tracheobronchial injury secondary to blunt trauma, which was managed successfully with emergent surgical repair and careful endoscopic follow-up. We review the important management decisions made in this case.




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