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Eur J Cardiothorac Surg 2005;27:523-525
© 2005 Elsevier Science NL

Case report

Bluntly traumatic tracheal transection: usefulness of percutaneous cardiopulmonary support for maintenance of gas exchange

Takeshi Kawaguchi*, Keiji Kushibe, Makoto Takahama, Shigeki Taniguchi

Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, 840, Shijo-cho, Kashihara, Nara 634-8522, Japan

Received 12 September 2004; received in revised form 1 December 2004; accepted 6 December 2004.

* Corresponding author. Tel.: +81 744 22 3051; fax: +81 744 24 8040. (E-mail: kawagu{at}naramed-u.ac.jp).

Respiratory management of tracheal injuries is a crucial key to successful treatment. We present herein a patient with a traumatic tracheal transection in whom we confronted difficulty in airway management after false intratracheal intubation. No associated injuries were seen in the patient, then, primary repair of the trachea was carried out under ventilatory support via percutaneous cardiopulmonary support system (PCPS). For a short period in the application of PCPS, the use of a heparin-coated circuit made systemic heparinization unnecessary during and after operation, and the outcome was satisfactory. In a carefully selected patient, ventilatory support via PCPS is useful.

Key Words: Tracheal injury • False intubation • Percutaneous cardiopulmonary support (PCPS)






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Copyright © 2005 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.