升主动脉和左主支气管创伤性破裂。

Traumatic rupture of ascending aorta and left main bronchus.

作者信息

Sadow S H, Murray C A, Wilson R F, Mansoori S, Harrington S D

机构信息

Department of Surgery, Wayne State University, MI.

出版信息

Ann Thorac Surg. 1988 Jun;45(6):682-3. doi: 10.1016/s0003-4975(10)64780-7.

DOI:10.1016/s0003-4975(10)64780-7

PMID:3377583

Abstract

A 14-year-old male pedestrian was hit by a truck and admitted with respiratory distress and subcutaneous emphysema. Aortography revealed disruption of the ascending aorta. Bronchoscopy revealed rupture of the left main bronchus at the carina. Both lesions were repaired using a median sternotomy, cardiopulmonary bypass, and a transpericardial approach for the bronchial repair. To our knowledge, this is the first report of successful repair of a combined rupture of a major bronchus and the ascending aorta.

摘要

一名14岁男性行人被卡车撞击，因呼吸窘迫和皮下气肿入院。主动脉造影显示升主动脉破裂。支气管镜检查显示左主支气管在隆突处破裂。通过正中胸骨切开术、体外循环以及经心包入路修复支气管，对这两处损伤进行了修复。据我们所知，这是首例成功修复主支气管和升主动脉联合破裂的报告。