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Ann Thorac Surg 2009;87:e51-e53. doi:10.1016/j.athoracsur.2009.03.004
© 2009 The Society of Thoracic Surgeons
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Young-Du Kim
Seok-Whan Moon
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Right arrow Trachea and bronchi

Case Reports

Primary Repair of an Iatrogenic Bronchial Rupture Under Video Mediastinoscopy

Young-Du Kim, MD, Chan-Beom Park, MD, PhD, Jae-Jun Kim, MD, Chi-Kyung Kim, MD, PhD, Seok-Whan Moon, MD, PhD*

Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea

Accepted for publication March 2, 2009.

* Address correspondence to Dr Moon, Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, St. Paul's Hospital, 620-56, Jeonnong-Dong, Dongdaemun-Gu, Seoul, 130-709, Korea (Email: swmoon{at}catholic.ac.kr).

Complications after performing mediastinoscopy are uncommon, but they may occur even for an experienced surgeon. The major complications have the potential to be life-threatening injuries, such as major vascular or airway injury. A 51-year-old man presented to our hospital due to mediastinal node enlargement on follow-up after he had undergone gastric cancer surgery 2 years previously. An iatrogenic bronchial rupture occurred while performing mediastinoscopic biopsy, and this injury was primarily repaired with multiple direct interrupted sutures, along with the aid of a homemade knot pusher under video mediastinoscopy, and we did not have to convert to an open thoracotomy.






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