Korean J Thorac Cardiovasc Surg.  2018 Apr;51(2):153-155. 10.5090/kjtcs.2018.51.2.153.

Concomitant Avulsion Injury of the Subclavian Vessels and the Main Bronchus Caused by Blunt Trauma

Affiliations
  • 1Department of Trauma and Surgical Critical Care, Pusan National University Hospital, Korea. csking1@daum.net
  • 2Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Korea.

Abstract

Concomitant rupture of the subclavian vessels and the left main bronchus caused by blunt trauma is a serious condition. Moreover, the diagnosis of a tracheobronchial injury with rupture of the subclavian vessels can be difficult. This report describes the case of a 33-year-old man who suffered from blunt trauma that resulted in the rupture of the left subclavian artery and vein. The patient underwent an operation for vascular control. On postoperative day 3, the left main bronchus was found to be transected on a computed tomography scan and bronchoscopy. The transected bronchus was anastomosed in an end-to-end fashion. He recovered without any notable problems. Although the bronchial injury was not detected early, this case of concomitant rupture of the great vessels and the airway was successfully treated after applying extracorporeal membrane oxygenation.

Keyword

Blunt trauma; Bronchus; Vessels
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