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Case Reports

Primary Repair of an Iatrogenic Bronchial Rupture Under Video Mediastinoscopy

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.