scholarly journals LACERATION OF THE RIGHT MAIN BRONCHUS AND TRANSECTION OF THE INTERMEDIATE BRONCHUS FOLLOWING A BLUNT CHEST TRAUMA-REPORT OF SUCESSFULLY MANAGED CASE-

1997 ◽  
Vol 58 (5) ◽  
pp. 995-998
Author(s):  
Toru SATO ◽  
Yoshiki NARUKE ◽  
Tomoshi SHIONO
Keyword(s):  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Main Bronchus ◽  
The Right

scholarly journals Posttraumatic disruption of the right main bronchus - a case report

2019 ◽  
Vol 72 (7-8) ◽  
pp. 248-250
Author(s):  
Bojan Koledin ◽  
Milos Koledin ◽  
Ivan Kuhajda ◽  
Sladjana Koledin
Keyword(s):  
Case Report ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Main Bronchus ◽  
Lung Parenchyma ◽  
Suture Technique ◽  
Sternal Fracture ◽  
Interrupted Suture ◽  
Right Thoracotomy ◽  
The Right

Introduction. Tracheobronchial disruption is a rare disorder, usually accompanied by a severe blunt chest trauma that quite rarely appears as an isolated event. Case Report. This is a case report of a right main bronchus disruption, due to an injury to the right hemithorax, caused by a falling tree trunk. The disruption was accompanied by mediastinal emphysema, fractures of the 4th and 5th ribs on the right side and compound sternal fracture. The patient was operated in general anesthesia, through right thoracotomy approach, followed by successful right main bronchus reconstruction by interrupted suture technique, without anatomic resection of the lung parenchyma. Conclusion. Although this injury is rare, with suspicion of bronchial rupture, bronchoscopy confirms the diagnosis and leads to better prognosis.

scholarly journals Right main bronchus rupture associated with blunt chest trauma: a case report

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Carime Díaz ◽  
Daniel F. Carvajal ◽  
Eliana I. Morales ◽  
Saveria Sangiovanni ◽  
Liliana Fernández-Trujillo
Keyword(s):  
Emergency Department ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Main Bronchus ◽  
Tension Pneumothorax ◽  
Fiberoptic Bronchoscopy ◽  
Signs And Symptoms ◽  
Pulmonary Contusion ◽  
Delay In Diagnosis ◽  
Airway Injury

Abstract Background Tracheobronchial injury is one of the least common injuries in the scenario of blunt chest trauma. However, around 81% of patients with airway injury die immediately or before arriving at the emergency department due to tension pneumothorax. It presents with non-specific signs and symptoms challenging prompt diagnosis. Case presentation A 15-year-old adolescent who was riding a bicycle suffered an accident when he fell down a cliff, approximately 5 m deep. Upon admission to the emergency department, he presented with signs of respiratory distress. The airway was secured and a thoracoabdominal angiography was performed. The image reported pneumomediastinum, a small right pneumothorax, areas of pulmonary contusion, and an image of loss of continuity in the anterior superior wall of the right main bronchus highly suggestive of bronchial rupture. The bronchial lesion was then confirmed by fiberoptic bronchoscopy. Taking into account the patient’s characteristics, conservative management was chosen, and the patient was transferred to the intensive care unit (ICU) where protective tracheal intubation was performed. Conclusions A delay in diagnosis increases the rate of complications, mainly infectious complications and the formation of granulation tissue that could potentially obstruct the airway, impacting the patient’s outcome. The first step in the management of these patients is securing the airway, which should be done immediately. The gold standard for the diagnosis and characterization of airway injuries is bronchoscopy as it is the most effective tool to assess topography, extent, and depth of the lesion.

Sudden death from contusion of the right atrium after blunt chest trauma: case report and review of the literature

Injury ◽  
2005 ◽  
Vol 36 (1) ◽  
pp. 213-217 ◽  
Author(s):  
Theodore Vougiouklakis ◽  
Dimitrios Peschos ◽  
Apostolos Doulis ◽  
Anna Batistatou ◽  
Antigone Mitselou ◽  
...  
Keyword(s):  
Case Report ◽  
Sudden Death ◽  
Right Atrium ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Review Of The Literature ◽  
Trauma Case ◽  
The Right

scholarly journals Traumatic avulsion of the tricuspid valve after gas bottle explosion

2016 ◽  
Vol 3 (2) ◽  
pp. K21-K24
Author(s):  
Francesca Tedoldi ◽  
Maximilian Krisper ◽  
Clemens Köhncke ◽  
Burkert Pieske
Keyword(s):  
Heart Failure ◽  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Right Heart Failure ◽  
Severe Illness ◽  
List Type ◽  
Right Heart ◽  
The Right

SummaryWe present a very rare example of chronic right heart failure caused by torrent tricuspid regurgitation. Massive right heart dilatation and severe tricuspid regurgitation due to avulsion of the tricuspid valve apparatus occurred as a result of a blunt chest trauma following the explosion of a gas bottle 20 years before admission, when the patient was a young man in Vietnam. After this incident, the patient went through a phase of severe illness, which can retrospectively be identified as an acute right heart decompensation with malaise, ankle edema, and dyspnea. Blunt chest trauma caused by explosives leading to valvular dysfunction has not been reported in the literature so far. It is remarkable that the patient not only survived this trauma, but had been managing his chronic heart failure well without medication for over 20 years.Learning pointsThorough clinical and physical examination remains the key to identifying patients with relevant valvulopathies.With good acoustic windows, TTE is superior to TEE in visualizing the right heart.Traumatic avulsion of valve apparatus is a rare but potentially life-threatening complication of blunt chest trauma and must be actively sought for. Transthoracic echocardiography remains the method of choice in these patients.

The right paratracheal stripe in blunt chest trauma.

Radiology ◽  
1982 ◽  
Vol 143 (3) ◽  
pp. 605-608 ◽  
Author(s):  
J H Woodring ◽  
C M Pulmano ◽  
R K Stevens
Keyword(s):  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
The Right

Combined ascending aorta rupture and left main bronchus disruption from blunt chest trauma

1989 ◽  
Vol 47 (5) ◽  
pp. 769-771 ◽  
Author(s):  
J. Marzelle ◽  
R. Nottin ◽  
Ph. Dartevelle ◽  
F.Lacour Gayet ◽  
M. Navajas ◽  
...  
Keyword(s):  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Main Bronchus ◽  
Ascending Aorta ◽  
Left Main Bronchus ◽  
Left Main ◽  
Aorta Rupture
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