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Case Reports

Successful Repair of a Subtotal Rupture of Distal Tracheobronchial Tree With Complete Abridgment of the Right Bronchus in a 4-Year-Old Child

^a Department of Thoracic Surgery, University Hospital of Freiburg, Freiburg, Germany
^b Department of Anesthesiology and Intensive Care Medicine, University Hospital of Freiburg, Freiburg, Germany

Accepted for publication February 18, 2008.

^_* Address correspondence to Dr Dango, Department of Thoracic Surgery, University Hospital Freiburg, Albert-Ludwigs-University Freiburg, Hugstetter Strasse 55, Freiburg, 79106, Germany (Email: sebastian.dango{at}uniklinik-freiburg.de).

Accurate diagnosis of tracheobronchial injuries in children is difficult due to the paucity of clinical presentation and the variety of clinical symptoms. They are potentially life threatening in blunt chest trauma. We report here on a clinical case of a boy who was injured during outdoor activity. We describe intraoperative findings of the massive tracheobronchial lesion and its successful repair using a pericardial patch technique and postoperative recovery. Such a serious tracheobronchial injury with a positive outcome has not been reported so far. Clinical and technical steps are described and discussed.