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Ann Thorac Surg 2004;77:1422-1423
© 2004 The Society of Thoracic Surgeons


Case report

Complete tracheal rupture after a failed suicide attempt

Victor S. Costache, MDa*, Claire Renaud, MDa, Laurent Brouchet, MDa, Tudor Tomab, François Le Balle, MDa, Jean Berjaud, MDa, Marcel Dahan, MD, PhDa

a Department of Thoracic Surgery, CHU Purpan, Toulouse, France
b Department of Pneumology and Respiratory Diseases, The Royal Brompton Hospital, London, United Kingdom

Accepted for publication April 18, 2003.

* Address reprint requests to Dr Dahan, Service de Chirurgie Thoracique, CHU Larrey, 24 Chemin de Pouvourville, TSA 30030, 31059, Toulouse Cedex 9, France
e-mail: dahan.m{at}chu-toulouse.fr

Tracheal rupture is life-threatening and its management poses a considerable challenge to both anesthesiologists and surgeons. We report the case of a 44-year-old patient with a complete tracheal rupture after a failed suicide attempt by hanging. A rare bilateral injury of the laryngeal nerves was associated. An original tracheal intubation was performed using the video unit for thoracoscopy. The severity of the lesions required the placement of a tracheostomy cannula after the tracheal repair. The postoperative course was uneventful. The patient was discharged on the 12th day, with a remaining moderate dysphonia.







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