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Right arrow Trachea and bronchi

Ann Thorac Surg 2004;78:2157-2159
© 2004 The Society of Thoracic Surgeons


Case report

Combined Blunt Aortic and Bronchial Injury

Poo-Sing Wong, FRCS (CTh)a,*, Ramesh R. Koirala, MDa, Chuen-Neng Lee, FRACSa

a Department of Cardiac, Thoracic and Vascular Surgery, National University Hospital, National University of Singapore, Singapore

Accepted for publication August 6, 2003.

* Address reprint requests to Dr Wong, Department of Cardiac, Thoracic and Vascular Surgery, National University Hospital, National University of Singapore, 5 Lower Kent Ridge Rd, Singapore 119074
surwps{at}nus.edu.sg

We report the case of a 29-year-old man with left blunt chest trauma resulting in an intimal tear of the proximal descending aorta, for which he underwent successful thoracic endovascular graft stenting. He subsequently developed progressive left lung collapse, and bronchoscopy revealed left bronchial disruption. A left thoracotomy with end-to-end anastomosis of the left bronchus was performed successfully. The literature from 6 other similar cases of concomitant aortic and bronchial injuries was reviewed.







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