Ishibashi Hironori, Ohta Shin-ichiro, Hirose Masahide, Akimoto Takehide
Department of General Thoracic Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Eur J Cardiothorac Surg. 2006 Dec;30(6):945-7. doi: 10.1016/j.ejcts.2006.09.009. Epub 2006 Oct 18.
Blunt tracheobronchial injuries are rare, but can be life-threatening. A precise preoperative diagnosis and a well-recognised plan of surgical treatment, which may be unique for each patient, are needed to restore the continuity of tracheobronchial tree in a one-stage intervention. We encountered a patient with complete tracheal transection and 15 cm tear in the posterior membranous trachea and right bronchus, and whose tracheal injury was difficult to repair using direct intubation of distal airway by bronchoscopy. We achieved a good result of one-stage repair using a percutaneous cardiopulmonary support (PCPS).