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Year : 2015  |  Volume : 5  |  Issue : 2  |  Page : 116-118

Tracheobronchial injury due to blunt chest trauma

Department of Surgery, Urmia University of Medical Sciences, Urmia, Iran

Correspondence Address:
Nariman Sepehrvand
Canadian VIGOUR Centre, 2-132 Li Ka Shing Centre for Health Research Innovation, University of Alberta, Edmonton, Alberta - T6G 2E1, Canada

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5151.158417

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Tracheobronchial avulsion resulting from blunt trauma is a very rare and serious condition, mostly due to high-speed traffic crashes. In this article, we briefly report the case of an 18-year-old man who was injured in a car accident and because of massive persistent air leakage (despite appropriate chest tube drainage), deemed to have a deep tracheobronchial injury. Due to a rapid drop in the patient's O 2 saturation, he underwent an anterolateral thoracotomy. Endotracheal intubation was performed under direct visualization. The right mainstem bronchus was disrupted from the carina with a 1.5-cm stump remaining on the carina, and the remainder was crushed to the origin of the right superior lobe bronchus. Hence, a right superior lobectomy was performed and the postoperative course was uneventful.

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